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NPI Code Detail

MEDICARE: WARREN CHEN

MEDICARE:   WARREN  CHEN
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
1152W00000XOptometrist9694TX

General Provider Information

NPI Number : 1275193468
Entity Type Code : Individual
Provider Name (Legal Business Name) : WARREN CHEN
Provider Business Mailing Address
First Line : 3151 WATERS VIEW DR
Second Line :
City : SUGAR LAND
State : TX
Zip : 77478-4473
Country : US
Telephone Number : 832-466-9291
Fax Number :
Provider Business Practice Location Address
First Line : 16535 SOUTHWEST FWY STE 230
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-2323
Country : US
Telephone Number : 281-494-3435
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2019
Last Update Date : 10/19/2020

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Directions to “ WARREN CHEN ” Practice Location

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