Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | K0275 | TX |
NPI | 1003855800 |
---|---|
Provider Name | Dr. William Min-Choy Chen |
First Address | Spring, TX 77379 |
Second Address | Spring, TX 77379 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 13/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0000147301002 | UHC (01) | TX |
092177703 | (05) | TX |
5356515 | AETNA (01) | TX |
8F1801 | BCBSTX (01) | TX |
G46833 | (02) | TX |