Individual
CHEN CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
504 MEDICAL CENTER BLVD, CONROE, TX 77304-2808
(936) 539-1111
Mailing address
PO BOX 4677, HOUSTON, TX 77210-4677
(713) 481-3544
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
N0695
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
N0695
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193445701
—
TX
05
—
193445702
—
TX
01
—
8J5508
BCBS
TX
Enumeration date
04/14/2006
Last updated
09/11/2009
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