Provider Demographics
NPI:1649775172
Name:CHEW, WAI-TIM
Entity type:Individual
Prefix:
First Name:WAI-TIM
Middle Name:
Last Name:CHEW
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1497 PERRY ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43201-2640
Mailing Address - Country:US
Mailing Address - Phone:610-393-7122
Mailing Address - Fax:
Practice Address - Street 1:5001 BISSONNET ST STE 200
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4023
Practice Address - Country:US
Practice Address - Phone:281-701-5457
Practice Address - Fax:866-493-3681
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-27
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU6214207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty