Healthcare Provider Details
I. General information
NPI: 1982920708
Provider Name (Legal Business Name): BEST CHEN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/19/2010
Last Update Date: 02/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
600 S MONROE ST
ENID OK
73701-7211
US
IV. Provider business mailing address
5300 N INDEPENDENCE AVE 280
OKLAHOMA CITY OK
73112-5556
US
V. Phone/Fax
- Phone: 580-233-2300
- Fax: 580-548-1537
- Phone: 580-233-2300
- Fax: 580-248-1537
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | 5064 |
| License Number State | OK |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 5064 |
| License Number State | OK |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: