Provider Demographics
NPI:1861495129
Name:CHU, C. ALLEN (MD,PHD)
Entity Type:Individual
Prefix:DR
First Name:C.
Middle Name:ALLEN
Last Name:CHU
Suffix:
Gender:M
Credentials:MD,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13215 DOTSON RD STE 320
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4535
Mailing Address - Country:US
Mailing Address - Phone:281-469-8600
Mailing Address - Fax:281-469-8611
Practice Address - Street 1:13215 DOTSON RD STE 320
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4535
Practice Address - Country:US
Practice Address - Phone:281-469-8600
Practice Address - Fax:281-469-8611
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-31
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7002174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0500246OtherUNITEDHEALTHCAREPROVIDER#
TX2120632OtherAETNA PROVIDER #
TX8659B0OtherBCBS INDIVIDUAL #
TX2086736OtherFIRST HEALTH PROVIDER #
TX6858495OtherCIGNA PROVIDER #
TX150794901Medicaid
TX181939900OtherWORKERSCOMPPROVIDER#