Individual
DR. STEPHEN RUSSELL CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
01056284A
IN
2085R0204X
Vascular & Interventional Radiology Physician
Primary
M5098
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187044618
—
TX
01
—
187044619
CSHCN MEDICAID
TX
01
—
8LB580
BCBS
TX
Enumeration date
05/18/2006
Last updated
05/28/2021
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