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Organization

JONATHANBCHINL.L.C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JONATHAN BRUCE CHIN (CEO)
(512) 461-1015
Entity
Organization

Contact information

Practice address
1901 MILLER RD, ROWLETT, TX 75088-5604
(214) 227-2457
Mailing address
PO BOX 938, ROWLETT, TX 75030-0938
(214) 227-2457

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
172926
TX

Other

Enumeration date
06/29/2017
Last updated
06/29/2017
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