Chan, Andy S

Chan, Andy S is an sole proprietor health care provider with primary practice located at 8325 Broadway St # 202-93 , Pearland TX 77581-5772. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Chan, Andy S can be contacted via phone (713) 535-3999.

Contact Information

Primary practice address
8325 Broadway St # 202-93 Pearland TX 77581-5772
Fax: (713) 758-0118
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X L3605 Texas

Profile Details

NPI number 1578643904
LBN Legal business name Chan, Andy S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Feb 24th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578643904 NPPES
Texas MEDICAID 151275801

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