Individual
JASON PO-YANG CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
300 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1032
(512) 509-0100
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
1099
GA
367H00000X
Anesthesiologist Assistant
Primary
1099
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343784001
—
TX
01
—
P00911602
RAILROAD MEDICARE
TX
Enumeration date
11/08/2010
Last updated
01/27/2022
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