Healthcare Provider Details

I. General information

NPI: 1184245433
Provider Name (Legal Business Name): DEAN CHEN, MD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2020
Last Update Date: 05/19/2021
Certification Date: 05/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2555 WESTERN TRAILS BLVD STE 101
AUSTIN TX
78745-1574
US

IV. Provider business mailing address

2555 WESTERN TRAILS BLVD STE 101
AUSTIN TX
78745-1574
US

V. Phone/Fax

Practice location:
  • Phone: 737-990-9080
  • Fax: 855-272-9966
Mailing address:
  • Phone: 737-990-9080
  • Fax: 855-272-9966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DEAN CHEN
Title or Position: OWNER
Credential: MD
Phone: 737-990-9080