Individual
JASON CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., M.S.
Contact information
Practice address
5420 WEST LOOP S STE 1100, BELLAIRE, TX 77401-2115
(713) 486-5590
(713) 486-0879
Mailing address
5420 WEST LOOP S STE 1100, BELLAIRE, TX 77401-2115
(713) 486-5590
(713) 486-0879
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Q8855
TX
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
Q8855
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
366830301
—
TX
01
—
8GB063
BCBS
TX
Enumeration date
05/05/2011
Last updated
02/21/2018
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