# ORANGE CLINICAL ASSOCIATES PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205044567
- **Authorized official:** DR. MARIAN M. CHEN-HAH MD (SECRETARY)
- **Authorized official phone:** (409) 883-5600

## Contact information

- **Practice address:** 610 STRICKLAND DR STE 290, ORANGE, TX 77630-4790
- **Practice address phone:** (409) 883-5600
- **Practice address fax:** (409) 883-2003
- **Mailing address:** 610 STRICKLAND DR STE 270, ORANGE, TX 77630-4786
- **Mailing address phone:** (409) 883-5600
- **Mailing address fax:** (409) 883-2003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | J7929 | TX | — |
| 207Y00000X | Otolaryngology Physician | J0832 | TX | — |
| 207YS0123X | Facial Plastic Surgery Physician | J0832 | TX | Yes |

## Other

- **Enumeration date:** 05/19/2007
- **Last updated:** 05/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0089RB | BC/BS OF TX | TX |
| 01 | — | 00T61Z | MEDICARE ID | TX |
| 01 | — | 0939498-03 | MEDICAID TPI | TX |