Provider Demographics
NPI:1447405618
Name:PO CHING, PAUL C JR
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:C
Last Name:PO CHING
Suffix:JR
Gender:
Credentials:
Other - Prefix:MR
Other - First Name:PAUL
Other - Middle Name:C
Other - Last Name:PO CHING
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6100 BROWNING DR
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-6084
Mailing Address - Country:US
Mailing Address - Phone:757-528-0558
Mailing Address - Fax:
Practice Address - Street 1:1500 W SOUTHLAKE BLVD
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-5950
Practice Address - Country:US
Practice Address - Phone:757-528-0558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-01
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72696101YP2500X
MO2008032814101YP2500X
39991103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional