Provider Demographics
NPI:1932301561
Name:CHAN, KWOK SING (LMSW)
Entity Type:Individual
Prefix:MR
First Name:KWOK SING
Middle Name:
Last Name:CHAN
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6220 WESTPARK DR
Mailing Address - Street 2:SUITE 228
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-7371
Mailing Address - Country:US
Mailing Address - Phone:713-339-3688
Mailing Address - Fax:713-339-3699
Practice Address - Street 1:6220 WESTPARK DR
Practice Address - Street 2:SUITE 228
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-7371
Practice Address - Country:US
Practice Address - Phone:713-339-3688
Practice Address - Fax:713-339-3699
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50669104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker