Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301092264 | MI |
N | 111NI0900X | Internist | 4301092264 | MI |
N | 207R00000X | Internist | P6354 | TX |
N | 111NI0900X | Internist | P6354 | TX |
Y | 207RI0200X | Infectious Disease | P6354 | TX |
NPI | 1003059346 |
---|---|
Provider Name | Dr. Ting-Yi Chen |
First Address | Dallas, TX 75284-5347 |
Second Address | Dallas, TX 75390-7201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2009 |
Last Update Date | 30/05/2013 |