Chan, Audrey Jacqueline

Chan, Audrey Jacqueline is an individual health care provider with primary practice located at 6701 Fannin St Suite 670, Houston TX 77030-2608. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Chan, Audrey Jacqueline can be contacted via phone (832) 822-3720.

Contact Information

Primary practice address
6701 Fannin St Suite 670 Houston TX 77030-2608
Phone: (832) 822-3720
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X Q0233 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Q0233 Texas

Profile Details

NPI number 1306161179
LBN Legal business name Chan, Audrey Jacqueline
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2010
Last updated Jan 8th, 2015 - about 9 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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