| Chu Dental Group | |
|
11309 Bandera Rd Suite 101 San Antonio TX 78250-2601 | |
| (210) 684-8033 | |
| (210) 684-8056 |
| Full Name | Chu Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11309 Bandera Rd, San Antonio, Texas |
| Authorized Official Name and Position | Henry Hing-lun Chu (DENTIST/OWNER) |
| Authorized Official Contact | 2106848033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chu Dental Group 11309 Bandera Rd Suite 101 San Antonio TX 78250-2601 Ph: (210) 684-8033 | Chu Dental Group 11309 Bandera Rd Suite 101 San Antonio TX 78250-2601 Ph: (210) 684-8033 |
| NPI Number | 1003191107 |
|---|---|
| Provider Enumeration Date | 10/20/2011 |
| Last Update Date | 10/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003191107 | NPI | - | NPPES |
| 133267808 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 15299 (Texas) | Primary |
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