Provider Demographics
NPI:1306041231
Name:CHAO, SONYA BETH (DO)
Entity Type:Individual
Prefix:DR
First Name:SONYA
Middle Name:BETH
Last Name:CHAO
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:3435 S ALAMEDA ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-1728
Mailing Address - Country:US
Mailing Address - Phone:361-855-8201
Mailing Address - Fax:361-855-5381
Practice Address - Street 1:3533 S ALAMEDA ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-1721
Practice Address - Country:US
Practice Address - Phone:361-855-8201
Practice Address - Fax:361-855-5381
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM5666207PP0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PP0204XAllopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXM5666OtherSTATE LICENSE