Doctor Name: | PAUL CHII |
NPI Number: | 1013398262 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 2508 Redbud Ave Odessa, TX - 797611616 |
Business Phone Number: | 3018287223 |
Business Fax Number: | |
Mailing Address: | 2508 Redbud Ave, ODESSA |
State: | TX |
Postal Code: | 797611616 |
Phone Number: | 3018287223 |
Fax Number: | |
NPI Enumeration Date: | 06/13/2015 |
NPI Last Update Date: | 06/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TM1800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Mental Retardation & Developmental Disabilities |
Taxonomy Definition: |