Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | M8597 | TX |
Y | 2080P0201X | Pediatric Allergist | M8597 | TX |
NPI | 1013026699 |
---|---|
Provider Name | Dr. Javier Chinen |
First Address | Kingwood, TX 77339-1835 |
Second Address | The Woodlands, TX 77384-4100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 04/09/2015 |