Provider Demographics
NPI:1861594392
Name:CHU, LOIS Y (DO)
Entity type:Individual
Prefix:DR
First Name:LOIS
Middle Name:Y
Last Name:CHU
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MS
Other - First Name:LOIS
Other - Middle Name:
Other - Last Name:CHU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2006-09-04
Last Update Date:2010-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK5868207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
8A0043OtherMEDICARE PROVIDER NUMBER
8A0043OtherMEDICARE PROVIDER NUMBER
8A0043Medicare PIN