Provider Demographics
NPI:1013149392
Name:PACHIE S CHAN MD PLLC
Entity Type:Organization
Organization Name:PACHIE S CHAN MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:MRS
Authorized Official - First Name:PACHIE
Authorized Official - Middle Name:S
Authorized Official - Last Name:CHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:936-271-2227
Mailing Address - Street 1:19073 INTERSTATE 45 S
Mailing Address - Street 2:SUITE 115
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77385-8743
Mailing Address - Country:US
Mailing Address - Phone:936-271-2227
Mailing Address - Fax:936-271-2229
Practice Address - Street 1:19073 INTERSTATE 45 S
Practice Address - Street 2:SUITE 115
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77385-8743
Practice Address - Country:US
Practice Address - Phone:936-271-2227
Practice Address - Fax:936-271-2229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty