Provider Demographics
NPI:1063522076
Name:CHRIS XIAOGUANG CHEN MD PA
Entity type:Organization
Organization Name:CHRIS XIAOGUANG CHEN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO, MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LAN
Authorized Official - Middle Name:
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-313-0288
Mailing Address - Street 1:16659 SOUTHWEST FWY STE 101
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2351
Mailing Address - Country:US
Mailing Address - Phone:281-313-0288
Mailing Address - Fax:281-313-0008
Practice Address - Street 1:16659 SOUTHWEST FWY STE 101
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2351
Practice Address - Country:US
Practice Address - Phone:281-313-0288
Practice Address - Fax:281-313-0008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX174977201Medicaid
TX00181ZMedicare PIN