Provider Demographics
NPI:1033239082
Name:CHU, BOBBY (MD)
Entity Type:Individual
Prefix:
First Name:BOBBY
Middle Name:
Last Name:CHU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1001 CROSS TIMBERS RD
Mailing Address - Street 2:SUITE 1240
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-1371
Mailing Address - Country:US
Mailing Address - Phone:972-539-8111
Mailing Address - Fax:972-539-1760
Practice Address - Street 1:1001 CROSS TIMBERS RD
Practice Address - Street 2:SUITE 1240
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-1371
Practice Address - Country:US
Practice Address - Phone:972-539-8111
Practice Address - Fax:972-539-1760
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ 9643207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF6515Medicare UPIN