Individual
CHARLIE JYUN LONG LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
6565 WEST LOOP S STE 525, BELLAIRE, TX 77401-3519
(713) 661-7888
Mailing address
6565 WEST LOOP S STE 525, BELLAIRE, TX 77401-3519
(713) 661-7888
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP136470
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
386490201
—
TX
Enumeration date
02/08/2018
Last updated
08/06/2021
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