Individual
PAUL C CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5005 S COOPER ST STE 250, ARLINGTON, TX 76017-5996
(866) 367-8768
(817) 541-9540
Mailing address
5001 S COOPER ST STE 201, ARLINGTON, TX 76017-5993
(866) 367-8768
(817) 541-9555
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
K8059
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116357801
—
TX
05
—
116357803
—
TX
05
—
116357804
—
TX
01
—
116357805
MEDICAID OTHER
TX
05
—
116357806
—
TX
Enumeration date
09/21/2005
Last updated
07/16/2019
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