Provider Demographics
NPI:1801899737
Name:CHEN, YONGXIN (MD)
Entity type:Individual
Prefix:DR
First Name:YONGXIN
Middle Name:
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 1:12606 W HOUSTON CENTER BLVD STE 260
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2790
Mailing Address - Country:US
Mailing Address - Phone:713-596-8526
Mailing Address - Fax:713-596-8560
Practice Address - Street 1:21820 KINGSLAND BLVD
Practice Address - Street 2:#110
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2508
Practice Address - Country:US
Practice Address - Phone:281-578-7922
Practice Address - Fax:281-578-3175
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2019-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8070207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4206496OtherBLE LINK
TX7501007OtherAETNA PPO
TX2220589OtherAETNA HMO
TX7583192010OtherCIGNA HMO
TX044758301Medicaid
TX030004687OtherR.R. MEDICARE
TX7583192009OtherCIGNA PPO
TXH06496Medicare UPIN
TX030004687OtherR.R. MEDICARE