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NPI Code Detail

MEDICARE: ALFRED ALAN S.P. CHU M.D.

MEDICARE: ALFRED ALAN S.P. CHU M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease PhysicianM5103TX

General Provider Information

NPI Number : 1922181916
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALFRED ALAN S.P. CHU M.D.
Provider Business Mailing Address
First Line : 1901 PORT LN
Second Line :
City : AMARILLO
State : TX
Zip : 79106-2430
Country : US
Telephone Number : 806-358-4596
Fax Number : 806-468-0240
Provider Business Practice Location Address
First Line : 1901 PORT LN
Second Line :
City : AMARILLO
State : TX
Zip : 79106-2430
Country : US
Telephone Number : 806-358-4596
Fax Number : 806-468-0240
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2006
Last Update Date : 08/19/2021

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