Provider Demographics
NPI:1225299753
Name:CHAO, STEPHEN KEN-WEI (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:KEN-WEI
Last Name:CHAO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1712 E 1ST ST STE M20
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-5238
Mailing Address - Country:US
Mailing Address - Phone:281-448-4139
Mailing Address - Fax:281-446-4860
Practice Address - Street 1:1712 1ST ST E # M20
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-5238
Practice Address - Country:US
Practice Address - Phone:281-446-4139
Practice Address - Fax:281-446-4860
Is Sole Proprietor?:No
Enumeration Date:2008-06-18
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP0561207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine