Provider Demographics
NPI:1134461320
Name:UONG, CHAU (DO)
Entity Type:Individual
Prefix:
First Name:CHAU
Middle Name:
Last Name:UONG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4541 N JOSEY LN STE 230
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-4781
Mailing Address - Country:US
Mailing Address - Phone:214-641-5777
Mailing Address - Fax:888-366-2632
Practice Address - Street 1:4541 N JOSEY LN STE 230
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-4781
Practice Address - Country:US
Practice Address - Phone:214-506-0904
Practice Address - Fax:888-366-2632
Is Sole Proprietor?:No
Enumeration Date:2013-03-26
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR1897208VP0014X, 208100000X
FLOS14052208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1A2979OtherMEDICARE
FLIR685YMedicare PIN