Provider Demographics
NPI:1073769030
Name:CHAO, DAVID MICHAEL (DO)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:MICHAEL
Last Name:CHAO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:7817 ARMSTRONG DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78413-6214
Mailing Address - Country:US
Mailing Address - Phone:832-767-9871
Mailing Address - Fax:888-857-4980
Practice Address - Street 1:7817 ARMSTRONG DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78413-6214
Practice Address - Country:US
Practice Address - Phone:832-767-9871
Practice Address - Fax:888-857-4980
Is Sole Proprietor?:No
Enumeration Date:2008-08-11
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM0038207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXM0038OtherSTATE MEDICAL LICENSE