Healthcare Provider Details

I. General information

NPI: 1225958366
Provider Name (Legal Business Name): XIAOLAN CHEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26321 NORTHWEST FWY STE 100
CYPRESS TX
77429-5759
US

IV. Provider business mailing address

30048 WILLOW WALK LN
BROOKSHIRE TX
77423-1880
US

V. Phone/Fax

Practice location:
  • Phone: 832-400-5566
  • Fax:
Mailing address:
  • Phone: 626-758-7467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code173C00000X
TaxonomyReflexologist
License NumberMT148063
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT148063
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: