Provider Demographics
NPI:1417907775
Name:CHIN, ALLEN HUNG (OD)
Entity Type:Individual
Prefix:MR
First Name:ALLEN
Middle Name:HUNG
Last Name:CHIN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:6910 BELLAIRE BLVD
Mailing Address - Street 2:UNIT 3
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-3509
Mailing Address - Country:US
Mailing Address - Phone:713-774-1124
Mailing Address - Fax:713-774-4038
Practice Address - Street 1:6910 BELLAIRE BLVD
Practice Address - Street 2:UNIT 3
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-3509
Practice Address - Country:US
Practice Address - Phone:713-774-1124
Practice Address - Fax:713-774-4038
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2007-10-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX2319TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP26231Medicare UPIN
TX8F3227Medicare PIN