Individual
DR. NOAH NATHAN CHASEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
106225
MN
2085R0202X
Diagnostic Radiology Physician
55576
MN
2085R0202X
Diagnostic Radiology Physician
Primary
N4340
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
367553001 (MDACC)
—
TX
01
—
8GQ441
OTHER BCBS
TX
05
—
ENROLLED
—
MN
Enumeration date
09/07/2010
Last updated
06/02/2021
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