Provider Demographics
NPI:1952473209
Name:KWANG, CHOI CHAI IRENE (MSPT)
Entity Type:Individual
Prefix:MRS
First Name:CHOI CHAI
Middle Name:IRENE
Last Name:KWANG
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:IRENE
Other - Middle Name:
Other - Last Name:KWANG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:8323 SOUTHWEST FREEWAY
Mailing Address - Street 2:#101
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074
Mailing Address - Country:US
Mailing Address - Phone:713-772-1400
Mailing Address - Fax:713-772-7116
Practice Address - Street 1:8323 SOUTHWEST FREEWAY
Practice Address - Street 2:#101
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074
Practice Address - Country:US
Practice Address - Phone:713-772-1400
Practice Address - Fax:713-772-7116
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1018521225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist