institution
Samuel C. Chan, D.o., P.a.
Primary Care Clinic/Center in Dallas, Texas
NPI 1881656791

Samuel C. Chan, D.o., P.a. is a Primary Care Clinic/Center based in Dallas, TX and is specialized in Primary Care. Samuel C. Chan, D.o., P.a. practices in Dallas, TX. The NPI Number for Samuel C. Chan, D.o., P.a. is 1881656791 and holds a License No. (Texas).

The current practice location address for Samuel C. Chan, D.o., P.a. is 5787 S Hampton Rd, Dallas, TX and can be reached out via phone at 214-330-3034 and via fax at 214-330-3096. You can also correspond with Samuel C. Chan, D.o., P.a. through the mailing address at 5787 S HAMPTON RD, DALLAS, TX - 75232-2255 (mailing address contact number: 214-330-3034).

Location: 5787 S Hampton Rd, Dallas, TX, 75232-2255
institution
Provider Profile Details
NPI Number
1881656791
Provider Name
Samuel C. Chan, D.o., P.a.
Credential
Provider Entity Type
Organization
Address
5787 S Hampton Rd, Dallas, TX, 75232-2255
Phone Number
214-330-3034
Fax Number
214-330-3096
Provider Enumeration Date
04/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
079946202 05 TX
00128N 01 TX MEDICARE PTAN
5900480001 01 TX PTAN
institution
Provider Business Practice Location Address Details
Address
5787 S Hampton Rd
City
State
Zip
75232-2255
Phone Number
214-330-3034
Fax Number
214-330-3096
person
Provider Business Mailing Address Details
Address
5787 S Hampton Rd
City
State
Zip
75232-2255
Phone Number
214-330-3034
Fax Number
214-330-3096
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
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Definition
Definition to come...
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