Provider Demographics
NPI:1144799354
Name:CHEN, KE
Entity Type:Individual
Prefix:
First Name:KE
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18756 STONE OAK PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4354
Mailing Address - Country:US
Mailing Address - Phone:210-214-0729
Mailing Address - Fax:
Practice Address - Street 1:18756 STONE OAK PKWY STE 200
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4354
Practice Address - Country:US
Practice Address - Phone:210-214-0729
Practice Address - Fax:210-664-7399
Is Sole Proprietor?:No
Enumeration Date:2018-11-16
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01760171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAC01760OtherSTATE LIC
TXAC01760OtherACUPUNCTURE