Provider Demographics
NPI:1881682276
Name:CHIU, ALICE C (MD)
Entity type:Individual
Prefix:
First Name:ALICE
Middle Name:C
Last Name:CHIU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:11476 SPACE CENTER BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77059-3656
Mailing Address - Country:US
Mailing Address - Phone:713-486-6325
Mailing Address - Fax:832-237-0200
Practice Address - Street 1:11476 SPACE CENTER BLVD STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77059-3656
Practice Address - Country:US
Practice Address - Phone:713-486-6325
Practice Address - Fax:713-486-6286
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ7318207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX047647501Medicaid
TXH23461Medicare UPIN
TX8K4686Medicare PIN
TX8978K0Medicare ID - Type Unspecified