Provider Demographics
NPI:1598987596
Name:CHU, NORMAN RUSSELL (D D S)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:RUSSELL
Last Name:CHU
Suffix:
Gender:M
Credentials:D D S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9660 HILLCROFT
Mailing Address - Street 2:SUITE 244
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096
Mailing Address - Country:US
Mailing Address - Phone:713-721-1662
Mailing Address - Fax:713-721-1663
Practice Address - Street 1:9660 HILLCROFT
Practice Address - Street 2:SUITE 244
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096
Practice Address - Country:US
Practice Address - Phone:713-721-1662
Practice Address - Fax:713-721-1663
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX140331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice