Organization
RAY CHAN M.D. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAY CHAN M.D. (PRESIDENT)
(817) 265-2672
Entity
Organization
Contact information
Practice address
1329 E PIONEER PKWY, ARLINGTON, TX 76010-5868
(817) 265-2672
(817) 801-5933
Mailing address
1329 E PIONEER PKWY, ARLINGTON, TX 76010-5868
(817) 265-2672
(817) 801-5933
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
K0439
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127639604
—
TX
Enumeration date
12/12/2011
Last updated
12/12/2011
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