Individual
PENG ROC CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6400 FANNIN ST STE 2800, HOUSTON, TX 77030-1534
(713) 486-8000
(713) 486-8088
Mailing address
6400 FANNIN ST STE 2070, HOUSTON, TX 77030-1541
(713) 486-7747
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
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