Josephine Deza Chua, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

K9503 Issued in TX

Practice address

3440 NE Stallings Dr
Nacogdoches, TX 75965-8719

Phone

(936) 564-2710

Fax

(936) 564-2791

NPI assigned

Jan 5, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• East Texas Medical Specialties

  • Interventional Pain Medicine Physician
  • Nacogdoches, TX
  • NPI 1154432706

  Nephrology

  Medicare reassignment NPD
• Cesar Delaguila

  • Cardiovascular Disease Physician
  • Nacogdoches, TX
  • NPI 1710006184
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1528046927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 NE STALLINGS DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759658719",
            "telephone_number": "936-564-2710",
            "fax_number": "936-564-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 NE STALLINGS DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759658719",
            "telephone_number": "936-564-2710",
            "fax_number": "936-564-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUA",
        "first_name": "JOSEPHINE",
        "middle_name": "DEZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "K9503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142075401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "752908294",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chiropractic Center of East Texas
• Chirotx, PC
• Robert O Choate, L.P.C.
• Brian Choi
• Karla T Christopher, LVN
• Ashleigh Clark
• Shelby Clark, LAT, ATC
• Clifton E. Thomas, MD, PA
• Cline Family Practice
• Eric A Cline, MD

• Nephrology Physician in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.