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Individual

LILI C CHU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
10505 BROADWAY ST STE A, PEARLAND, TX 77584-8076
(713) 436-0106
Mailing address
6106 SANFORD RD, HOUSTON, TX 77096-5728
(713) 436-0106

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
05351TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
VTX004030
AVESIS
TX
Enumeration date
04/20/2007
Last updated
07/08/2007
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