MEDICARE: KIN YEE CHAN

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	H7954	TX

General Provider Information

NPI Number	:	1477756005
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KIN YEE CHAN

Provider Business Mailing Address
First Line	:	907 BAY AREA BLVD
Second Line	:	SUITE B
City	:	HOUSTON
State	:	TX
Zip	:	77058-2603
Country	:	US
Telephone Number	:	281-286-6000
Fax Number	:	281-488-8686

Provider Business Practice Location Address
First Line	:	907 BAY AREA BLVD
Second Line	:	SUITE B
City	:	HOUSTON
State	:	TX
Zip	:	77058-2603
Country	:	US
Telephone Number	:	281-286-6000
Fax Number	:	281-488-8686

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KIN CHAN
Credential	:	M.D.
Telephone Number	:	281-286-6000

Provider Enumeration Date	:	06/11/2007
Last Update Date	:	08/22/2020

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Directions to “KIN YEE CHAN ” Practice Location

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