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Individual

ALICE JANE CHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D., PH.D.

Taxonomy

Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
M5667
TX
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
M5667
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
189922101
TX
01
189922102
CSHCN
TX
Enumeration date
07/24/2007
Last updated
11/18/2008
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