Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | N8173 | TX |
NPI | 1215196092 |
---|---|
Provider Name | Paul Carl Chin |
First Address | The Woodlands, TX 77382-2566 |
Second Address | The Woodlands, TX 77382-2566 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2008 |
Last Update Date | 09/10/2019 |