Jackson C Chen M.D.

NPI 1063494797 - Family Medicine - 207Q00000X

NPI Details
NPI 1063494797
Gender Male
Enumeration Date 11/17/2005
Last Updated 01/09/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
14202 S PADRE ISLAND DR
CORPUS CHRISTI TX, 78418-6030, US
Phone (361) 949-6206
Fax (361) 949-9372
Business Location
919 HIDDEN RDG
IRVING TX, 75038-3813, US
Phone (469) 282-2713
Fax (361) 994-7271
Toxanomy
Taxonomy Code 207Q00000X
License State Texas
License Number K5082
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According to our database, Dr. Jackson C Chen M.D. NPI is 1063494797, taxonomy code is 207Q00000X and license number is K5082, license state is located at Texas. Jackson C Chen M.D. physically located at 14202 S Padre Island Dr, Corpus Christi TX, 78418-6030. NPI Number Jackson C Chen M.D. has the Individual type.

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1063494797 NPI number is provided on an as is basis without warranty of any kind. 1063494797 is maintained by the National Plan & Provider Enumeration System. The contents of Jackson C Chen M.D. are for informational purposes only.