Provider Demographics
NPI:1699859462
Name:CHEN, RAY HUANG-TSANG (MD)
Entity Type:Individual
Prefix:
First Name:RAY
Middle Name:HUANG-TSANG
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6305 NEWCASTLE ST
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3815
Mailing Address - Country:US
Mailing Address - Phone:713-828-0802
Mailing Address - Fax:713-838-7367
Practice Address - Street 1:6305 NEWCASTLE ST
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-3815
Practice Address - Country:US
Practice Address - Phone:713-828-0802
Practice Address - Fax:713-838-7367
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE5356208G00000X, 207P00000X
TN45908208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1518010Medicaid
TX8G1260OtherBLUE CROSS,BLUE SHIELD
TX080641601Medicaid
TX760619957OtherAETNA
TX080641601Medicaid
TX8491J2Medicare PIN