Individual
PATRICK CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1325 PENNSYLVANIA AVE, STE 610, FORT WORTH, TX 76104-2158
(817) 878-5125
Mailing address
1325 PENNSYLVANIA AVE, STE 610, FORT WORTH, TX 76104-2158
(817) 878-5125
(817) 878-5126
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
L9654
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1702995
—
TX
Enumeration date
09/29/2006
Last updated
07/16/2007
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