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NPI Code Detail

MEDICARE: DR. CARLOS ENRIQUE CHINEA M.D.

MEDICARE:  DR. CARLOS ENRIQUE CHINEA  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
1207RG0100XGastroenterology PhysicianK8072TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17906007OTHERTXAETNA
28H8100OTHERTXBCBS

General Provider Information

NPI Number : 1639192370
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARLOS ENRIQUE CHINEA M.D.
Provider Business Mailing Address
First Line : 2700 CITIZENS PLZ STE 400
Second Line :
City : VICTORIA
State : TX
Zip : 77901-5757
Country : US
Telephone Number : 361-576-3277
Fax Number : 361-576-3271
Provider Business Practice Location Address
First Line : 2700 CITIZENS PLZ STE 400
Second Line :
City : VICTORIA
State : TX
Zip : 77901-5757
Country : US
Telephone Number : 361-576-3277
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 11/05/2024

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Directions to “ DR. CARLOS ENRIQUE CHINEA M.D.” Practice Location

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