Chua, Josephine Deza

Chua, Josephine Deza is an individual health care provider with primary practice located at 3440 Ne Stallings Dr , Nacogdoches TX 75965-8719. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Chua, Josephine Deza can be contacted via phone (936) 564-2710.

Contact Information

Primary practice address
3440 Ne Stallings Dr Nacogdoches TX 75965-8719
Phone: (936) 564-2710
Fax: (936) 564-2791
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X K9503 Texas

Profile Details

NPI number 1528046927
LBN Legal business name Chua, Josephine Deza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Mar 2nd, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528046927 NPPES
Texas MEDICAID 142075401
Texas Other 752908294

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