Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | A94280 | CA |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | M8793 | TX |
N | 2081P2900X | Pain Medicine | A94280 | CA |
N | 2081P2900X | Pain Medicine | M8793 | TX |
NPI | 1083664528 |
---|---|
Provider Name | Dr. Chun M Lin |
First Address | Frisco, TX 75034-3323 |
Second Address | Addison, TX 75001-7101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 20/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
209274401 | (05) | TX |
8BW307 | BCBS PIN (01) | TX |
O00749090 | RAIL ROAD MEDICARE PIN (01) | TX |