Provider Demographics
NPI:1083829519
Name:JINPING CHAI, PA
Entity Type:Organization
Organization Name:JINPING CHAI, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:JINPING
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-319-7988
Mailing Address - Street 1:900 WATER OAK DR
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-8253
Mailing Address - Country:US
Mailing Address - Phone:817-319-7988
Mailing Address - Fax:817-310-3268
Practice Address - Street 1:1000 N COOPER ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-5540
Practice Address - Country:US
Practice Address - Phone:817-548-3400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7327207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXL7327OtherLICENSE NUMBER
TXL7327OtherLICENSE NUMBER
TXL7327OtherLICENSE NUMBER