Chen, Justin Ray

Chen, Justin Ray is an individual health care provider with primary practice located at 1009 N 4Th St Ste A , Longview TX 75601-4768. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Chen, Justin Ray can be contacted via phone (903) 757-3808.

Contact Information

Primary practice address
1009 N 4Th St Ste A Longview TX 75601-4768
Phone: (903) 757-3808
Fax: (903) 757-3893
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Q0616 Texas
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X Q0616 Texas

Profile Details

NPI number 1962728642
LBN Legal business name Chen, Justin Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2010
Last updated Sep 23rd, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962728642 NPPES
Texas MEDICAID 341689306

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