Organization
JACKSON CHEN, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKSON C CHEN MD (PHYSICIAN)
(361) 992-2436
Entity
Organization
Contact information
Practice address
5920 SARATOGA BLVD, 320A, CORPUS CHRISTI, TX 78414-4103
(361) 992-2436
(361) 980-1133
Mailing address
5920 SARATOGA BLVD, 320A, CORPUS CHRISTI, TX 78414-4103
(361) 992-2436
(361) 980-1133
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K5082
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1426942
—
TX
Enumeration date
04/18/2007
Last updated
08/22/2020
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