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NPI Code Detail

MEDICARE: JULIANN CHHEN TEA MD

MEDICARE: JULIANN CHHEN TEA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianT3710TX
22084P0015XPsychosomatic Medicine PhysicianT3710TX

General Provider Information

NPI Number : 1568966513
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIANN CHHEN TEA MD
Provider Business Mailing Address
First Line : 2002 HOLCOMBE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77030-4211
Country : US
Telephone Number : 713-791-1414
Fax Number : 713-794-7737
Provider Business Practice Location Address
First Line : 2002 HOLCOMBE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77030-4211
Country : US
Telephone Number : 713-791-1414
Fax Number : 713-798-3138
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2018
Last Update Date : 03/10/2026

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