Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RN0300X | Nephrologist | 036-113589 | IL |
Y | 207RN0300X | Nephrologist | Q1964 | TX |
NPI | 1003921495 |
---|---|
Provider Name | Dr. Sheldon Chen |
First Address | Houston, TX 77210-4439 |
Second Address | Houston, TX 77030-4009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2006 |
Last Update Date | 27/02/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
341192801 | (05) | TX |
8EW007 | BCBS (01) | TX |