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NPI Code Detail

MEDICARE: YONG U CHIN MD

MEDICARE: YONG U CHIN MD
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
1207R00000XInternal Medicine PhysicianK2434TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10006MPOTHERTXBCBS
2K2434OTHERTXLICENSE #
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4110291103OTHERTXFIRSTCARE INDIVIDUAL #

General Provider Information

NPI Number : 1619068186
Entity Type Code : Individual
Provider Name (Legal Business Name) : YONG U CHIN MD
Provider Business Mailing Address
First Line : PO BOX 189
Second Line :
City : MEXIA
State : TX
Zip : 76667-0189
Country : US
Telephone Number : 254-562-9321
Fax Number : 254-562-3570
Provider Business Practice Location Address
First Line : 600 S BONHAM ST
Second Line : SUITE G
City : MEXIA
State : TX
Zip : 76667-3603
Country : US
Telephone Number : 254-562-9321
Fax Number : 254-562-3570
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 08/07/2009

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Directions to “ YONG U CHIN MD” Practice Location

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