Individual
JUSTIN CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1650 W COLLEGE ST, GRAPEVINE, TX 76051-3565
(313) 657-8017
Mailing address
1650 W COLLEGE ST, GRAPEVINE, TX 76051-3565
(313) 657-8017
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
R7964
TX
Other
Enumeration date
07/05/2007
Last updated
01/23/2024
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