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Individual

ANDRE S. CHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2000 S MAYS ST STE 201, ROUND ROCK, TX 78664-7580
(512) 244-4272
(512) 244-2895
Mailing address
2000 S MAYS ST STE 201, ROUND ROCK, TX 78664-7580
(512) 244-4272
(512) 244-2895

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
J4037
TX
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
J4037
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102427501
TX
05
102427503
TX
Enumeration date
02/21/2006
Last updated
01/06/2021
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