Organization
CHAN DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN RICHARD CHAN D.O. (DIRECTOR)
(832) 835-1974
Entity
Organization
Contact information
Practice address
8403 LOUETTA RD # 100, SPRING, TX 77379-6737
(832) 835-1974
(832) 552-1567
Mailing address
8403 LOUETTA RD # 100, SPRING, TX 77379-6737
(832) 279-4610
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
08/02/2023
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