Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 00000 | OK |
Y | 207P00000X | Emergency Physician | N4332 | TX |
NPI | 1003027947 |
---|---|
Provider Name | Hoi Y Chan |
First Address | Tulsa, OK 74136-1902 |
Second Address | Tulsa, OK 74136-1902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2007 |
Last Update Date | 17/06/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
07802 | (05) | LA |
P00917845 | RAILROAD (01) | TX |