Provider Demographics
NPI:1104652759
Name:CHEUNG, CHI SHING (PT, DPT)
Entity type:Individual
Prefix:
First Name:CHI SHING
Middle Name:
Last Name:CHEUNG
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:DENNIS
Other - Middle Name:
Other - Last Name:CHEUNG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:5702 TIMBERGATE DR APT 1305
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-3191
Mailing Address - Country:US
Mailing Address - Phone:510-676-0748
Mailing Address - Fax:
Practice Address - Street 1:150 BLUE HERON PKWY
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3766
Practice Address - Country:US
Practice Address - Phone:281-724-5442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-10
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1388101225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist