Organization
THOMAS T CHEN, MD, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BEVERLY ANN RODERICK (PRACTICE MANAGER)
(702) 456-7255
Entity
Organization
Contact information
Practice address
653 N TOWN CENTER DR, SUITE 300, LAS VEGAS, NV 89144-0514
(702) 456-7255
(702) 456-7855
Mailing address
PO BOX 370908, LAS VEGAS, NV 89137-0908
(702) 456-7255
(702) 456-7855
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8155
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002018182
—
NV
05
—
003102382
—
NV
Enumeration date
04/22/2008
Last updated
04/22/2008
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