Individual
EDWARD CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6550 FANNIN ST, SUITE 1601, HOUSTON, TX 77030-2717
(713) 441-5141
(713) 790-6470
Mailing address
6550 FANNIN ST, SUITE 1601, HOUSTON, TX 77030-2717
(713) 441-5141
(713) 790-6470
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
60364515
WA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
Q5986
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
352687301
—
TX
05
—
352687302
—
TX
01
—
8FL015
BCBS
TX
01
—
8GD799
BCBS
TX
Enumeration date
06/01/2008
Last updated
10/20/2017
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