Provider Demographics
NPI:1083613038
Name:CHOW, DANNY C (MD)
Entity Type:Individual
Prefix:DR
First Name:DANNY
Middle Name:C
Last Name:CHOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:755 S 11TH ST
Mailing Address - Street 2:STE 100A
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-3732
Mailing Address - Country:US
Mailing Address - Phone:409-212-5965
Mailing Address - Fax:409-899-2785
Practice Address - Street 1:755 S 11TH ST
Practice Address - Street 2:STE 100A
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-3732
Practice Address - Country:US
Practice Address - Phone:409-212-5965
Practice Address - Fax:409-899-2785
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ37652085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX042653801Medicaid
TX8A0620Medicare ID - Type Unspecified
TXF95725Medicare UPIN