Provider Demographics
NPI:1669030425
Name:CHAU, WINNIE CRYSTAL
Entity Type:Individual
Prefix:
First Name:WINNIE
Middle Name:CRYSTAL
Last Name:CHAU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14910 WINDSOR MNR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-2142
Mailing Address - Country:US
Mailing Address - Phone:832-552-5802
Mailing Address - Fax:
Practice Address - Street 1:14910 WINDSOR MNR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-2142
Practice Address - Country:US
Practice Address - Phone:832-552-5802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-05
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant