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NPI Code Detail

MEDICARE: RAY CHAN M.D.

MEDICARE:   RAY  CHAN  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
1207W00000XOphthalmology PhysicianK0439TX

General Provider Information

NPI Number : 1548268162
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAY CHAN M.D.
Provider Business Mailing Address
First Line : 1329 E PIONEER PKWY
Second Line :
City : ARLINGTON
State : TX
Zip : 76010-5868
Country : US
Telephone Number : 817-265-2672
Fax Number :
Provider Business Practice Location Address
First Line : 1329 E PIONEER PKWY
Second Line :
City : ARLINGTON
State : TX
Zip : 76010-5868
Country : US
Telephone Number : 817-265-2672
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 07/09/2007

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Directions to “ RAY CHAN M.D.” Practice Location

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