Individual
DR. JIA-YEN CHI
Active
Individual
DR. JIA-YEN CHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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