Individual
RAPHAEL KOK CHIN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2615 FANNIN ST, HOUSTON, TX 77002-9224
(713) 228-9411
Mailing address
6363 DEZAVALA ST, SUITE 200, SAN ANTONIO, TX 78249-2104
(210) 225-5666
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
61523
MN
207Y00000X
Otolaryngology Physician
Primary
G5874
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1781355
—
LA
Enumeration date
06/26/2006
Last updated
03/17/2018
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