| Doctor Name: | DR. JASON CHIU |
| NPI Number: | 1033397666 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 01062412A |
| Business Practice Address: | 36000 Darnall Loop Darnall Army Medical Center Fort Hood, TX - 765444752 |
| Business Phone Number: | 2542889426 |
| Business Fax Number: | |
| Mailing Address: | 25 Waters Edge Cir, Apt 831 GEORGETOWN |
| State: | TX |
| Postal Code: | 786265554 |
| Phone Number: | 7168122608 |
| Fax Number: | |
| NPI Enumeration Date: | 02/06/2008 |
| NPI Last Update Date: | 02/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 01062412A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |