Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | M1580 | TX |
N | 207RC0000X | Internist - Cardiovascular Disease | M1580 | TX |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | M1580 | TX |
NPI | 1144245374 |
---|---|
Provider Name | Dr. Harvey Robert Chen |
First Address | Waco, TX 76702-1327 |
Second Address | Waco, TX 76712-4054 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 03/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1777559-04 | (05) | TX |
177755906 | (05) | TX |