Individual
PENG ROC CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
M6564
TX
207T00000X
Neurological Surgery Physician
MD426665
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183156201
—
TX
05
—
183156202
—
TX
05
—
183156203
—
TX
05
—
183156204
—
TX
01
—
8AA321
BCBS
TX
01
—
8AR784
BCBSTX
TX
01
—
P00639900
MEDICARE RR
TX
Enumeration date
07/20/2006
Last updated
01/30/2020
Update your record
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