MEDICARE: YUNG CHEN DO

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
1	207Q00000X	Family Medicine Physician	K7694	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	080172120	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	8B2210	OTHER	TX	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366411845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUNG CHEN DO

Provider Business Mailing Address
First Line	:	8465 BOAT CLUB RD STE 115
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76179-3676
Country	:	US
Telephone Number	:	817-260-0535
Fax Number	:	817-984-1448

Provider Business Practice Location Address
First Line	:	8465 BOAT CLUB RD
Second Line	:	STE. 115
City	:	FORT WORTH
State	:	TX
Zip	:	76179-3607
Country	:	US
Telephone Number	:	817-260-0535
Fax Number	:	817-984-1448

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2006
Last Update Date	:	03/12/2026

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Directions to “ YUNG CHEN DO” Practice Location

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