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NPI Code Detail

MEDICARE: DR. PETER PO TAO CHEN M.D., PH.D.

MEDICARE:  DR. PETER PO TAO CHEN  M.D., PH.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
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianS7023TX

General Provider Information

NPI Number : 1598103996
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER PO TAO CHEN M.D., PH.D.
Provider Business Mailing Address
First Line : 3007 WOODLAND HILLS DRIVE, #94
Second Line :
City : KINGSWOOD
State : TX
Zip : 77339-1403
Country : US
Telephone Number : 832-412-8670
Fax Number : 832-559-0652
Provider Business Practice Location Address
First Line : 3007 WOODLAND HILLS DR # 94
Second Line :
City : KINGWOOD
State : TX
Zip : 77339-1403
Country : US
Telephone Number : 832-412-8670
Fax Number : 832-559-0562
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2013
Last Update Date : 08/11/2020

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Directions to “ DR. PETER PO TAO CHEN M.D., PH.D.” Practice Location

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