Provider Demographics
NPI:1841309341
Name:CHEN, CHRIS XIAOGUANG (MD PHD)
Entity type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:XIAOGUANG
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:MR
Other - First Name:XIAOGUANG
Other - Middle Name:
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD PHD
Mailing Address - Street 1:16659 SOUTHWEST FWY
Mailing Address - Street 2:STE 101
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2351
Mailing Address - Country:US
Mailing Address - Phone:281-313-0288
Mailing Address - Fax:281-313-0008
Practice Address - Street 1:1111 HIGHWAY 6 SOUTH
Practice Address - Street 2:SUITE 196
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4902
Practice Address - Country:US
Practice Address - Phone:281-313-0288
Practice Address - Fax:281-313-0008
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9655207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX174979801Medicaid
I35501Medicare UPIN
TX174979801Medicaid