Individual
DR. JIA-YEN CHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1010 S PONDS DR, WEBSTER, TX 77598-1409
(713) 442-4300
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
F5172
TX
207N00000X
Dermatology Physician
Primary
F5172
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070003899
RAILROAD MEDICARE
TX
05
—
101779001
—
TX
05
—
101779005
—
TX
05
—
101779007
—
TX
05
—
101779009
—
TX
01
—
8V9175
BC BS
TX
Enumeration date
07/21/2005
Last updated
12/15/2016
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