Provider Demographics
NPI:1417034513
Name:TEXAS THORACIC ASSOCIATES PA
Entity Type:Organization
Organization Name:TEXAS THORACIC ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAY
Authorized Official - Middle Name:H
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-946-9700
Mailing Address - Street 1:4102 WOODLAWN SUITE 210
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-1947
Mailing Address - Country:US
Mailing Address - Phone:713-946-9700
Mailing Address - Fax:713-946-9777
Practice Address - Street 1:4102 WOODLAWN SUITE 210
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-1947
Practice Address - Country:US
Practice Address - Phone:713-946-9700
Practice Address - Fax:713-946-9777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE5356208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
8G1260OtherBCBS
8G1260OtherBCBS
TX00462NMedicare PIN