Individual
DR. MICHAEL CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3615 19TH ST, LUBBOCK, TX 79410-1203
(806) 725-4479
(806) 725-0053
Mailing address
3420 22ND PL, LUBBOCK, TX 79410-1314
(806) 725-5844
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
P4146
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8DL319
BCBS
TX
Enumeration date
02/17/2009
Last updated
11/05/2012
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