Provider Demographics
NPI:1104914324
Name:CHUONG, C. JAMES (MD)
Entity type:Individual
Prefix:
First Name:C. JAMES
Middle Name:
Last Name:CHUONG
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 1:7500 BEECHNUT ST STE 308
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-4337
Mailing Address - Country:US
Mailing Address - Phone:713-771-9771
Mailing Address - Fax:713-771-9773
Practice Address - Street 1:7500 BEECHNUT ST STE 308
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-4337
Practice Address - Country:US
Practice Address - Phone:713-771-9771
Practice Address - Fax:713-771-9773
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG9081207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG9081OtherSTATE LICENSE
TXD50LMedicare ID - Type Unspecified
TXG9081OtherSTATE LICENSE