Provider Demographics
NPI:1154345064
Name:CHAO, TONI N (NP)
Entity type:Individual
Prefix:
First Name:TONI
Middle Name:N
Last Name:CHAO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9250 AMBERTON PKWY
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-3224
Mailing Address - Country:US
Mailing Address - Phone:682-236-3656
Mailing Address - Fax:
Practice Address - Street 1:9250 AMBERTON PKWY
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-3224
Practice Address - Country:US
Practice Address - Phone:682-236-3656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP111084363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX154664006Medicaid
TX154664005Medicaid
TX154664003Medicaid
TX154664010Medicaid
TX154664004Medicaid
TX154664007Medicaid
TX154664008Medicaid
TX154664009Medicaid
TX8C0656Medicare PIN
TX154664009Medicaid
TXTXB121857Medicare PIN
TX154664008Medicaid
TX8J5643Medicare PIN
TX154664003Medicaid
TX154664007Medicaid
TXTXB121854Medicare PIN
TX8L12127Medicare PIN