Provider Demographics
NPI:1841280351
Name:HU, H CHUNGTAI (MD)
Entity type:Individual
Prefix:DR
First Name:H CHUNGTAI
Middle Name:
Last Name:HU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2255 E MOSSY OAKS RD STE 680
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-1812
Mailing Address - Country:US
Mailing Address - Phone:281-537-0300
Mailing Address - Fax:281-537-0315
Practice Address - Street 1:2255 E MOSSY OAKS RD STE 680
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77389
Practice Address - Country:US
Practice Address - Phone:281-537-0300
Practice Address - Fax:281-537-0315
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH4964207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX080188702OtherMEDICARE RAILROAD PIN
D31991Medicare UPIN
TX8755B2Medicare PIN