Individual
CHIA-YE CHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5632 EDWARDS RANCH RD STE 100, FORT WORTH, TX 76109-4149
(817) 336-7188
Mailing address
4620 DOZIER RD, CARROLLTON, TX 75010-4217
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
T7899
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2019
Last updated
09/14/2023
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