Provider Demographics
NPI:1598594038
Name:CHU, MENGCHU GUO (NP)
Entity type:Individual
Prefix:
First Name:MENGCHU
Middle Name:GUO
Last Name:CHU
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3807 W WISTERIA CIR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2812
Mailing Address - Country:US
Mailing Address - Phone:832-282-7445
Mailing Address - Fax:
Practice Address - Street 1:6100 CORPORATE DR # 3A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3419
Practice Address - Country:US
Practice Address - Phone:832-831-3183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-01
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1177512363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health