Chae, Phillip Hyunsuk
Chae, Phillip Hyunsuk is an individual health care provider with primary practice located at 400 Rosalind Redfern Grover Pkwy Ste 100 Craddick Medical Office Bldg., Midland TX 79701-5849. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Chae, Phillip Hyunsuk can be contacted via phone (432) 687-1949.Contact Information
Primary practice address
400 Rosalind Redfern Grover Pkwy Ste 100 Craddick Medical Office Bldg.
Midland TX 79701-5849
Phone: (432) 687-1949
Fax: (432) 687-4251
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | Q8851 | Texas |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | Q8851 | Texas |
Profile Details
| NPI number | 1073833075 |
|---|---|
| LBN Legal business name | Chae, Phillip Hyunsuk |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2010 |
| Last updated | Oct 23rd, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073833075 | NPPES |
| Texas | Other | P01830998 | RAILROAD |
| Texas | MEDICAID | 360214601 | RAILROAD |
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