Provider Demographics
NPI:1538815261
Name:STROM, CHAD AUKANALL
Entity type:Individual
Prefix:
First Name:CHAD
Middle Name:AUKANALL
Last Name:STROM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16712 HUFFMEISTER RD BLDG 500
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-8050
Mailing Address - Country:US
Mailing Address - Phone:281-746-6037
Mailing Address - Fax:832-565-8123
Practice Address - Street 1:16712 HUFFMEISTER RD BLDG 500
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-8050
Practice Address - Country:US
Practice Address - Phone:281-746-6037
Practice Address - Fax:832-565-8123
Is Sole Proprietor?:No
Enumeration Date:2022-02-22
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst