Individual
VINCENT CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 CLARA BARTON BLVD, SUITE 300, GARLAND, TX 75042-5738
(972) 494-6235
(972) 272-2073
Mailing address
601 CLARA BARTON BLVD, SUITE 300, GARLAND, TX 75042-5738
(972) 494-6235
(972) 272-2073
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M3491
TX
207RG0100X
Gastroenterology Physician
Primary
M3491
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206166501
—
TX
05
—
206166502
—
TX
01
—
8BG117
BCBSTX
TX
Enumeration date
10/03/2006
Last updated
06/01/2010
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