Doctor Name: | MRS. SANGSOO CHO |
NPI Number: | 1740471218 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 619494 |
Business Practice Address: | 31303 Fm 2920 Rd G Waller, TX - 774848197 |
Business Phone Number: | 9369313448 |
Business Fax Number: | 9369313704 |
Mailing Address: | 9335 Pearsall Dr, HOUSTON |
State: | TX |
Postal Code: | 770647436 |
Phone Number: | 7132691008 |
Fax Number: | |
NPI Enumeration Date: | 08/08/2007 |
NPI Last Update Date: | 12/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 619494 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |