Provider Demographics
NPI:1366600264
Name:LOIS Y. CHU, D.O., P.A.
Entity type:Organization
Organization Name:LOIS Y. CHU, D.O., P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:LOIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CHU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-360-8898
Mailing Address - Street 1:PO BOX 5356
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77325-5356
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2714 W LAKE HOUSTON PKWY
Practice Address - Street 2:#100
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-5229
Practice Address - Country:US
Practice Address - Phone:281-360-8898
Practice Address - Fax:281-360-9968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-28
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
00237UOtherMEDICARE GROUP NUMBER
00237UOtherMEDICARE GROUP NUMBER
G98826Medicare UPIN