Chan, Vincent

Chan, Vincent is an individual health care provider with primary practice located at 601 Clara Barton Blvd Suite 300, Garland TX 75042-5738. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Chan, Vincent can be contacted via phone (972) 494-6235.

Contact Information

Primary practice address
601 Clara Barton Blvd Suite 300 Garland TX 75042-5738
Fax: (972) 272-2073
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M3491 Texas
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X M3491 Texas

Profile Details

NPI number 1770678336
LBN Legal business name Chan, Vincent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jun 1st, 2010 - about 15 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 1770678336 NPPES
Texas MEDICAID 206166501
Texas MEDICAID 206166502
Texas Other 8BG117

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