Provider Demographics
NPI:1316375249
Name:HUNG, SIU-CHU (RN)
Entity Type:Individual
Prefix:
First Name:SIU-CHU
Middle Name:
Last Name:HUNG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:BESSIE SIU-CHU
Other - Middle Name:
Other - Last Name:HUNG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:9515 BELLAIRE BLVD # C
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-4545
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9113 SHARPCREST ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-6139
Practice Address - Country:US
Practice Address - Phone:832-868-1090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-01
Last Update Date:2013-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX248036163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse