SAMUEL C. CHAN D.O. P.A. NPI 1881656791

NPI Information

SAMUEL C. CHAN, D.O., P.A. is a primary care clinic center in Dallas, TX. SAMUEL C. CHAN, D.O., P.A. NPI is 1881656791. The provider is registered as an organization entity type.

The provider's business location address is:

5787 S HAMPTON RD
SUITE 300, LB 134
DALLAS, TX
ZIP 75232-255
Phone: (214) 330-3034
Fax: (214) 330-3096

The provider's authorized official is Samuel C. Chan .
The authorized official title is President and has the following contact phone number (214) 330-3034.

The enumeration date for this NPI number is 4/5/2006 and was last updated on 5/12/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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