Active NPI
Chau Uong, DO
- Physical Medicine & Rehabilitation Physician
- Carrollton, TX
National Provider Identifier
1134461320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- R1897
- Practice address
- 4541 N Josey LN Ste 230
Carrollton, TX 75010-4781 - Phone
- (214) 506-0904
- Fax
- (888) 366-2632
- NPI assigned
- Mar 26, 2013
- Last updated
- Jun 12, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | R1897 | TX | |
| Physical Medicine & Rehabilitation Physician | 208100000X | R1897 | TX | Primary |
Addresses
Primary practice location
4541 N Josey LN Ste 230
Carrollton, TX 75010-4781
Mailing address
4541 N Josey LN Ste 230
Carrollton, TX 75010-4781
Phone (214) 641-5777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1A2979 | Other | TX | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1897 | TX | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Medical Center | Current | Accepting new patients | |
| Memorial Medical Center | Current | Accepting new patients | |
| Memorial Medical Center | Current | Accepting new patients | |
| Citizens Medical Center County of Victoria | Interventional Pain Medicine | Past | Accepting new patients |
Locations
815 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Excalibur Pain and Rehab
- Pain Clinic/Center
- Carrollton, TX
- NPI 1255972972
-
- Surgery Physician
- Port Lavaca, TX
- NPI 1104203181
-
- Critical Access Hospital
- Port Lavaca, TX
- NPI 1689630865
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
Interventional Pain Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591920000000",
"number": "1134461320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4541 N JOSEY LN STE 230",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750104781",
"telephone_number": "214-641-5777",
"fax_number": "888-366-2632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4541 N JOSEY LN STE 230",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750104781",
"telephone_number": "214-506-0904",
"fax_number": "888-366-2632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UONG",
"first_name": "CHAU",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-26",
"last_updated": "2020-06-12",
"certification_date": "2020-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "TX",
"license": "R1897",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "R1897",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "1A2979",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, TX
- Moizza U-Kiu
- U.S. Healthworks Medical Group of Texas, Inc.
- Kanenechukwu Virginia Ubesie, MD, MBA, FACS
- Ruth Umoren, DMD
- Unity Mental Health Services Limited Liability Company (Unity Mental Health Services)
- Urgent Care Chiropractic Inc
- US Clinics PLLC
- Timothy Uselton, DC
- Kumar T. Vadivel, DDS, FDS RCS, MS
- Gabriel Valdez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.