MEDICARE: DR. CHUCK QUOC-CHINH DOAN 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
1	207L00000X	Anesthesiology Physician	L8324	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1366425217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHUCK QUOC-CHINH DOAN M.D.

Provider Business Mailing Address
First Line	:	6720 BERTNER AVE., SUITE O-520, MC 1-226, HARRIS COUNTY
Second Line	:	ATTN: MARIE SANCHEZ
City	:	HOUSTON
State	:	TX
Zip	:	77030
Country	:	US
Telephone Number	:	832-355-2666
Fax Number	:

Provider Business Practice Location Address
First Line	:	7200 CAMBRIDGE STREET
Second Line	:	10TH FLOOR
City	:	HOUSTON
State	:	TX
Zip	:	77030-4202
Country	:	US
Telephone Number	:	713-798-1750
Fax Number	:	713-798-4693

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

Provider Enumeration Date	:	11/23/2005
Last Update Date	:	04/27/2022

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