Provider Demographics
NPI:1689848996
Name:CHING, LINA MIRIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:LINA
Middle Name:MIRIAM
Last Name:CHING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:705 S FRY RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-2251
Mailing Address - Country:US
Mailing Address - Phone:281-205-8199
Mailing Address - Fax:281-205-8198
Practice Address - Street 1:1331 W GRAND PKWY N STE 150
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-2711
Practice Address - Country:US
Practice Address - Phone:281-205-8199
Practice Address - Fax:281-205-8198
Is Sole Proprietor?:No
Enumeration Date:2008-04-17
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH57.010688207R00000X
TXP1627207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1689848996OtherBLUE CROSS BLUE SHIELD
TX296635001Medicaid
TXP01070455OtherMEDICARE RR
TX333251YMVQMedicare PIN
TXTXB146318Medicare PIN