Provider Demographics
NPI:1982237996
Name:ANNIE & CHAU, LP
Entity type:Organization
Organization Name:ANNIE & CHAU, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE/OPERATIONS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:RPHT
Authorized Official - Phone:832-454-2848
Mailing Address - Street 1:10603 BELLAIRE BLVD STE B114
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-5229
Mailing Address - Country:US
Mailing Address - Phone:281-530-5800
Mailing Address - Fax:281-530-5819
Practice Address - Street 1:10603 BELLAIRE BLVD STE B118
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-5229
Practice Address - Country:US
Practice Address - Phone:832-328-7529
Practice Address - Fax:832-328-7620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-18
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1002479OtherTEXAS DEPARTMENT STATE HEALTH SERVICES REGULATORY LICENSING
TX1002581OtherTEXAS DEPARTMENT STATE HEALTH SERVICES REGULATORY LICENSING