MEDICARE: CHEN'S TCM CLINIC, P.C.

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
1	111NN0400X	Neurology Chiropractor	8236	TX

General Provider Information

NPI Number	:	1700079696
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHEN'S TCM CLINIC, P.C.

Provider Business Mailing Address
First Line	:	4100 W 15TH ST STE 116
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-5826
Country	:	US
Telephone Number	:	972-599-0852
Fax Number	:	972-599-0853

Provider Business Practice Location Address
First Line	:	4100 W 15TH ST STE 116
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-5826
Country	:	US
Telephone Number	:	972-599-0852
Fax Number	:	972-599-0853

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALAN Y CHEN
Credential	:
Telephone Number	:	972-599-0852

Provider Enumeration Date	:	08/23/2007
Last Update Date	:	08/23/2007

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