Provider Demographics
NPI:1558851816
Name:STASIO, CHI NGUYEN (DO)
Entity Type:Individual
Prefix:
First Name:CHI
Middle Name:NGUYEN
Last Name:STASIO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:CHI
Other - Middle Name:TRAN
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:8807 NORHAM DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-5781
Mailing Address - Country:US
Mailing Address - Phone:713-560-1207
Mailing Address - Fax:
Practice Address - Street 1:7703 FLOYD CURL DR # MS 7795
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3901
Practice Address - Country:US
Practice Address - Phone:713-560-1207
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-12
Last Update Date:2022-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TX390200000X
TXT1225207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program