Provider Demographics
NPI:1164499224
Name:CHONG, JOSEPH C (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:C
Last Name:CHONG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9250 BELLAIRE BLVD
Mailing Address - Street 2:A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-4502
Mailing Address - Country:US
Mailing Address - Phone:713-981-0988
Mailing Address - Fax:713-981-9111
Practice Address - Street 1:9250 BELLAIRE BLVD
Practice Address - Street 2:A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4502
Practice Address - Country:US
Practice Address - Phone:713-981-0988
Practice Address - Fax:713-981-9111
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-07
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH3005207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXD585Medicare ID - Type Unspecified
TXC14459Medicare UPIN