Provider Demographics
NPI:1093140980
Name:CHRISTINA CHEN MD PLLC
Entity Type:Organization
Organization Name:CHRISTINA CHEN MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:254-306-0347
Mailing Address - Street 1:1000 W. HWY 6
Mailing Address - Street 2:SUITE 120
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-3787
Mailing Address - Country:US
Mailing Address - Phone:254-306-0347
Mailing Address - Fax:254-488-3284
Practice Address - Street 1:1000 W. HWY 6
Practice Address - Street 2:SUITE 120
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-3787
Practice Address - Country:US
Practice Address - Phone:254-306-0347
Practice Address - Fax:254-488-3284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-10
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM15792084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty