Provider Demographics
NPI:1518152099
Name:LI-TAI CHUO, M.D., P.A.
Entity Type:Organization
Organization Name:LI-TAI CHUO, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LI-TAI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-292-6959
Mailing Address - Street 1:901 CYPRESS CREEK RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-3998
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:901 CYPRESS CREEK RD
Practice Address - Street 2:SUITE 100
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-3998
Practice Address - Country:US
Practice Address - Phone:713-292-6959
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-07
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty