Healthcare Provider Details

I. General information

NPI: 1972738565
Provider Name (Legal Business Name): BKCHEN, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2009
Last Update Date: 02/21/2025
Certification Date: 02/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 W COLLEGE ST 510
GRAPEVINE TX
76051-3580
US

IV. Provider business mailing address

1600 W COLLEGE ST STE 510
GRAPEVINE TX
76051-3589
US

V. Phone/Fax

Practice location:
  • Phone: 817-410-7982
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberN1279
License Number StateTX

VIII. Authorized Official

Name: DR. BARBARA K CHEN
Title or Position: PRESIDENT
Credential:
Phone: 817-410-7982