Provider Demographics
NPI:1467453068
Name:SIM, CHRISTOPHER SIANG- CHEOK (M D)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:SIANG- CHEOK
Last Name:SIM
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4331 BRIGHTWOOD DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-1704
Mailing Address - Country:US
Mailing Address - Phone:281-893-5870
Mailing Address - Fax:281-893-5895
Practice Address - Street 1:4331 BRIGHTWOOD DR
Practice Address - Street 2:SUITE 100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-1704
Practice Address - Country:US
Practice Address - Phone:281-893-5870
Practice Address - Fax:281-893-5895
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2010-07-26
Deactivation Date:2006-03-21
Deactivation Code:
Reactivation Date:2006-04-21
Provider Licenses
StateLicense IDTaxonomies
TXF4527207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX092608104Medicaid
TX4060478OtherAETNA
TX8F1800OtherBCBSTX
TX0000067462702OtherUNITED HEALTHCARE
TX8F1767Medicare ID - Type Unspecified
TXC21819Medicare UPIN