Individual
DR. ILENE CHIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 S MAIN ST, FORT WORTH, TX 76104-2410
(817) 882-2400
Mailing address
5323 HARRY HINES BLVD # NA102, DALLAS, TX 75390-7208
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
550053
TX
207Y00000X
Otolaryngology Physician
Primary
R1351
TX
Other
Enumeration date
06/22/2010
Last updated
01/20/2026
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