Provider Demographics
NPI:1619641966
Name:LUIS CHUG MD PLLC
Entity Type:Organization
Organization Name:LUIS CHUG MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:ENRIQUE
Authorized Official - Last Name:CHUG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-823-6363
Mailing Address - Street 1:7341 KATY FREEWAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-5210
Mailing Address - Country:US
Mailing Address - Phone:646-823-6363
Mailing Address - Fax:646-974-9618
Practice Address - Street 1:1631 NORTH LOOP W STE 640
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1598
Practice Address - Country:US
Practice Address - Phone:832-263-1177
Practice Address - Fax:832-737-0972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-02
Last Update Date:2022-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3262081Medicaid