Provider Demographics
NPI:1508596800
Name:CHEN, JASON KA HEI
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:KA HEI
Last Name:CHEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1333 DELANO ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77003-4524
Mailing Address - Country:US
Mailing Address - Phone:862-226-9138
Mailing Address - Fax:
Practice Address - Street 1:8821 S SAM HOUSTON PKWY W STE 100
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-1495
Practice Address - Country:US
Practice Address - Phone:800-320-9765
Practice Address - Fax:281-305-0253
Is Sole Proprietor?:No
Enumeration Date:2022-06-10
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX48108183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist