| Pachie S Chan Md Pllc | |
|
19073 Interstate 45 S Suite 115 Shenandoah TX 77385-8743 | |
| (936) 271-2227 | |
| (936) 271-2229 |
| Full Name | Pachie S Chan Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 19073 Interstate 45 S, Shenandoah, Texas |
| Authorized Official Name and Position | Pachie S Chan (MD) |
| Authorized Official Contact | 9362712227 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pachie S Chan Md Pllc 19073 Interstate 45 S Suite 115 Shenandoah TX 77385-8743 Ph: (936) 271-2227 | Pachie S Chan Md Pllc 19073 Interstate 45 S Suite 115 Shenandoah TX 77385-8743 Ph: (936) 271-2227 |
| NPI Number | 1013149392 |
|---|---|
| Provider Enumeration Date | 08/20/2009 |
| Last Update Date | 08/20/2009 |
| Medicare PECOS PAC ID | 2567504459 |
|---|---|
| Medicare Enrollment ID | O20100114000593 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013149392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Pachie S Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164524427 PECOS PAC ID: 8224193065 Enrollment ID: I20090211000587 |
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