Individual
ERIC CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1009 N 4TH ST, SUITE B, LONGVIEW, TX 75601-4768
(903) 212-4330
(903) 212-4333
Mailing address
1009 N 4TH ST, SUITE B, LONGVIEW, TX 75601-4768
(903) 212-4330
(903) 212-4333
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M6080
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
022225
LA
2080N0001X
Neonatal-Perinatal Medicine Physician
M6080
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1494011
—
LA
Enumeration date
07/21/2006
Last updated
03/08/2013
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