Provider Demographics
NPI:1942214036
Name:CHU, BOBBY SANG (MD)
Entity type:Individual
Prefix:
First Name:BOBBY
Middle Name:SANG
Last Name:CHU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2409 FALCON PASS
Mailing Address - Street 2:#100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77062-6274
Mailing Address - Country:US
Mailing Address - Phone:281-461-1111
Mailing Address - Fax:
Practice Address - Street 1:2409 FALCON PASS
Practice Address - Street 2:#100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77062-6274
Practice Address - Country:US
Practice Address - Phone:281-461-1111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8184207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX118087905Medicaid
TX8V1562OtherBCBSTX PROV NO
TX8J1303Medicare PIN
TX8V1562OtherBCBSTX PROV NO