Most Relevant Information
Provider Data
NPI Number: | 1003326091 |
Provider Name: | TOMAS F CHAO LAT, ATC |
Entity Type: | Individual |
Taxonomy Code: | 2255A2300X |
Specialty: | Specialist/Technologist |
License Number: | LAT-2033 |
Most Important Dates
Enumeration Date: | 10/04/2017 |
Last Updated: | 10/04/2017 |
Provider Practice Location
1744 LANE RD
MT HOLLY
NC
281209037
Practice Location Phone/Fax
Phone: | 7048369613 |
Fax: |
Provider Mailing Location
640 SUMMIT CROSSING PL STE 208
GASTONIA
NC
280542142
Provider Mailing Phone/Fax
Phone: | 7046715730 |
Fax: | 7046715750 |