Provider Demographics
NPI:1780078089
Name:CHU, KRISTIE MAY (MD)
Entity type:Individual
Prefix:
First Name:KRISTIE
Middle Name:MAY
Last Name:CHU
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:10905 MEMORIAL HERMANN DR STE 111
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-3490
Mailing Address - Country:US
Mailing Address - Phone:281-929-4727
Mailing Address - Fax:281-929-4728
Practice Address - Street 1:10905 MEMORIAL HERMANN DR STE 111
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-3490
Practice Address - Country:US
Practice Address - Phone:281-929-4727
Practice Address - Fax:281-929-4728
Is Sole Proprietor?:No
Enumeration Date:2015-03-25
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA1458572084N0400X
TXS55832084V0102X, 2084N0400X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXS5583OtherSTATE LICENSE