Provider Demographics
NPI:1841384211
Name:CHUO, LITAI (MD)
Entity Type:Individual
Prefix:
First Name:LITAI
Middle Name:
Last Name:CHUO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 S AUSTIN AVE
Mailing Address - Street 2:STE 210
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-7545
Mailing Address - Country:US
Mailing Address - Phone:512-763-4000
Mailing Address - Fax:512-930-1259
Practice Address - Street 1:3201 S AUSTIN AVE
Practice Address - Street 2:STE 210
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-7545
Practice Address - Country:US
Practice Address - Phone:512-763-4000
Practice Address - Fax:512-930-1259
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM7118207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX200930001Medicaid
TX8L18729Medicare PIN
H24760Medicare UPIN
TX200930001Medicaid