Provider Demographics
NPI:1336145515
Name:CHOU, JUI-LIEN (MD)
Entity Type:Individual
Prefix:DR
First Name:JUI-LIEN
Middle Name:
Last Name:CHOU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2202 MEMPHIS AVE
Mailing Address - Street 2:STE 202
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1342
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4002 21ST ST
Practice Address - Street 2:STE A
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1135
Practice Address - Country:US
Practice Address - Phone:806-793-1406
Practice Address - Fax:806-796-1167
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH09852085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM0X0144Medicaid
TX120115401Medicaid
TX3202252OtherBLUELINK
TX86190GOtherBC/BS TX
TX110332100Other1ST CARE
TX120115401Medicaid
TX86190GOtherBC/BS TX
TX110332100Other1ST CARE