Provider Demographics
NPI:1184853509
Name:CHEN, ALEXANDER DAVID (OD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:DAVID
Last Name:CHEN
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:9701 N SAM HOUSTON PKWY E
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77396-4482
Mailing Address - Country:US
Mailing Address - Phone:281-360-2021
Mailing Address - Fax:281-360-2026
Practice Address - Street 1:9701 N SAM HOUSTON PKWY E
Practice Address - Street 2:SUITE 100
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396-4482
Practice Address - Country:US
Practice Address - Phone:281-360-2021
Practice Address - Fax:281-360-2026
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-07
Last Update Date:2014-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7395T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist