Provider Demographics
NPI:1639266893
Name:WAYNE CHIN DPM PA
Entity Type:Organization
Organization Name:WAYNE CHIN DPM PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:YUCK
Authorized Official - Last Name:CHIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:469-952-5857
Mailing Address - Street 1:8601 ELK MOUNTAIN TRL
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-6886
Mailing Address - Country:US
Mailing Address - Phone:469-952-5857
Mailing Address - Fax:469-952-5857
Practice Address - Street 1:8601 ELK MOUNTAIN TRL
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-6886
Practice Address - Country:US
Practice Address - Phone:469-952-5857
Practice Address - Fax:469-952-5857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty