Provider Demographics
NPI:1407948623
Name:CHEN, MING-KING (MD)
Entity type:Individual
Prefix:DR
First Name:MING-KING
Middle Name:
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9288 BELLAIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-4502
Mailing Address - Country:US
Mailing Address - Phone:713-981-6680
Mailing Address - Fax:713-981-6686
Practice Address - Street 1:9288 BELLAIRE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4502
Practice Address - Country:US
Practice Address - Phone:713-981-6680
Practice Address - Fax:713-981-6686
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE7852207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00LP83Medicare ID - Type Unspecified
TXC14411Medicare UPIN