Individual
THOMAS TUNG CHING CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
653N TOWN CENTER DR 404, LAS VEGAS, NV 89144-0518
(702) 454-0014
(702) 454-0018
Mailing address
PO BOX 370908, LAS VEGAS, NV 89137-0908
(702) 454-0014
(702) 454-0018
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8155
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002018182
MEDICAID
NV
01
—
003102382
MEDICAID HEALTHY KIDS
NV
Enumeration date
11/09/2006
Last updated
10/09/2015
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