Provider Demographics
NPI:1548757479
Name:CHIU, RAYMOND (ATC)
Entity Type:Individual
Prefix:
First Name:RAYMOND
Middle Name:
Last Name:CHIU
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12332 RIDGESIDE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-3207
Mailing Address - Country:US
Mailing Address - Phone:832-605-4235
Mailing Address - Fax:
Practice Address - Street 1:12332 RIDGESIDE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-3207
Practice Address - Country:US
Practice Address - Phone:832-605-4235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-17
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer