Jackson Chen, Md, Pa

LBN: Jackson Chen, Md, Pa
Jackson Chen, Md, Pa is an health care organization with primary practice located at 5920 Saratoga Blvd 320A, Corpus Christi TX 78414-4103. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Jackson Chen, Md, Pa can be contacted via phone (361) 992-2436, or through Chen, Jackson C via phone (361) 992-2436.

Contact Information

Primary practice address
5920 Saratoga Blvd 320A Corpus Christi TX 78414-4103
Phone: (361) 992-2436
Fax: (361) 980-1133
Website:
Map and Directions
Authorized official contact:
Name: Chen, Jackson C Doctor of Medicine (MD)
Phone: (361) 992-2436

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X K5082 Texas

Profile Details

NPI number 1134345051
LBN Legal business name Jackson Chen, Md, Pa
DBA Doing business as
Authorized official Chen, Jackson C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134345051 NPPES
Texas MEDICAID 1426942

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