Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207ND0101X | MOHS-Micrographic Surgeon | S1371 | TX |
N | 207T00000X | Neurosurgeon | BP10049140 | TX |
NPI | 1255745915 |
---|---|
Provider Name | Dr. Leon Chen |
First Address | Houston, TX 77030-1316 |
Second Address | Houston, TX 77030-1316 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2014 |
Last Update Date | 19/12/2019 |