Provider Demographics
NPI:1063532745
Name:PAO, CHINGLING (PT)
Entity type:Individual
Prefix:
First Name:CHINGLING
Middle Name:
Last Name:PAO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:
Other - Last Name:LIU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:7357 REGENCY SQUARE CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-3142
Mailing Address - Country:US
Mailing Address - Phone:713-977-0868
Mailing Address - Fax:
Practice Address - Street 1:7357 REGENCY SQUARE CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3142
Practice Address - Country:US
Practice Address - Phone:713-977-0868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1045102225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist