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Individual

KHOI B CHU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
855 MONTGOMERY ST, DEPT OF OB/GYN, FORT WORTH, TX 76107-2553
(817) 927-1065
(817) 927-1162
Mailing address
PO BOX 99335, FORT WORTH, TX 76199-0335
(817) 927-1065
(817) 927-1162

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
K4027
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
047546902
TX
01
8B5598
BCBS
TX
01
P01126334
RAILROAD MEDICARE
TX
Enumeration date
07/31/2006
Last updated
04/09/2013
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