1467453068 NPI number — DR. CHRISTOPHER SIANG- CHEOK SIM M D

Table of content: DR. CHRISTOPHER SIANG- CHEOK SIM M D (NPI 1467453068)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467453068 NPI number — DR. CHRISTOPHER SIANG- CHEOK SIM M D

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SIM
Provider First Name:
CHRISTOPHER
Provider Middle Name:
SIANG- CHEOK
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M D
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467453068
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/26/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
03/21/2006
NPI Reactivation Date:
04/21/2006

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4331 BRIGHTWOOD DR
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77068-1704
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-893-5870
Provider Business Mailing Address Fax Number:
281-893-5895

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4331 BRIGHTWOOD DR
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77068-1704
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-893-5870
Provider Business Practice Location Address Fax Number:
281-893-5895
Provider Enumeration Date:
08/03/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  F4527 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 092608104 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4060478 . This is a "AETNA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 8F1800 . This is a "BCBSTX" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 0000067462702 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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