Provider Demographics
NPI:1437105772
Name:CLEMENT CHOW M.D., P.A.
Entity Type:Organization
Organization Name:CLEMENT CHOW M.D., P.A.
Other - Org Name:SOUTHWEST ENT OF FORT BEND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CLEMENT
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOW
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PA
Authorized Official - Phone:281-242-2719
Mailing Address - Street 1:14833 SOUTHWEST FWY
Mailing Address - Street 2:STE B202
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-5016
Mailing Address - Country:US
Mailing Address - Phone:281-242-2719
Mailing Address - Fax:281-491-3299
Practice Address - Street 1:14833 SOUTHWEST FWY
Practice Address - Street 2:STE B202
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-5016
Practice Address - Country:US
Practice Address - Phone:281-242-2719
Practice Address - Fax:281-491-3299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00N30TMedicare ID - Type UnspecifiedCLEMENT CHOW M.D.
TXF87418Medicare UPIN
TXC14467Medicare UPIN
TX00N30TMedicare ID - Type UnspecifiedJACQUELINE F. MOSTERT M.D