Individual
DR. CHUONG JOHN CHAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2412 50TH ST, LUBBOCK, TX 79412-2504
(806) 744-7223
(806) 740-3325
Mailing address
4515 MARSHA SHARP FWY, LUBBOCK, TX 79407-2520
(806) 744-7223
(806) 740-3325
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
57.008724
OH
207L00000X
Anesthesiology Physician
Primary
N0689
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198019501
—
TX
01
—
8L474
MEDICARE
TX
Enumeration date
03/24/2008
Last updated
10/01/2015
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