Provider Demographics
NPI:1376551549
Name:CHEN, YU-TANG (DC)
Entity Type:Individual
Prefix:DR
First Name:YU-TANG
Middle Name:
Last Name:CHEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9600 BELLAIRE BLVD
Mailing Address - Street 2:SUITE 115
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-4500
Mailing Address - Country:US
Mailing Address - Phone:713-776-3900
Mailing Address - Fax:
Practice Address - Street 1:9600 BELLAIRE BLVD
Practice Address - Street 2:SUITE 115
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4500
Practice Address - Country:US
Practice Address - Phone:713-776-3900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7272111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU74322Medicare UPIN
TX88010FMedicare PIN