Organization
ORANGE CLINICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIAN M. CHEN-HAH MD (SECRETARY)
(409) 883-5600
Entity
Organization
Contact information
Practice address
610 STRICKLAND DR STE 290, ORANGE, TX 77630-4790
(409) 883-5600
(409) 883-2003
Mailing address
610 STRICKLAND DR STE 270, ORANGE, TX 77630-4786
(409) 883-5600
(409) 883-2003
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
J7929
TX
207Y00000X
Otolaryngology Physician
J0832
TX
207YS0123X
Facial Plastic Surgery Physician
Primary
J0832
TX
Other
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
Enumeration date
05/19/2007
Last updated
05/16/2008
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