Provider Demographics
NPI:1831847938
Name:CHUA, RONWALDO (AGPCNP-C)
Entity type:Individual
Prefix:
First Name:RONWALDO
Middle Name:
Last Name:CHUA
Suffix:
Gender:M
Credentials:AGPCNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2619 ROSEPOINT CT
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:TX
Mailing Address - Zip Code:77545-1419
Mailing Address - Country:US
Mailing Address - Phone:832-526-1567
Mailing Address - Fax:
Practice Address - Street 1:11999 KATY FWY STE 375
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-1628
Practice Address - Country:US
Practice Address - Phone:713-240-1626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-17
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1073137363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care