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NPI Code Detail

MEDICARE: OLIVER YONZEN CHIN M.D.

MEDICARE: OLIVER YONZEN CHIN M.D.
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
1207Y00000XOtolaryngology PhysicianME149513FL
2207Y00000XOtolaryngology PhysicianT7186TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255793147
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLIVER YONZEN CHIN M.D.
Provider Business Mailing Address
First Line : 14140 SOUTHWEST FWY STE 200
Second Line :
City : SUGAR LAND
State : TX
Zip : 77478-3842
Country : US
Telephone Number : 281-649-7000
Fax Number : 281-240-0030
Provider Business Practice Location Address
First Line : 16545 SOUTHWEST FWY STE 100
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-2919
Country : US
Telephone Number : 281-649-7200
Fax Number : 281-491-6704
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2016
Last Update Date : 06/13/2025

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