Basic Information
| Provider Information | |||||||||
| NPI: | 1841720729 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHEN | ||||||||
| FirstName: | TONY | ||||||||
| MiddleName: | YUAN-TING | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11511 SHADOW CREEK PKWY | ||||||||
| Address2: | |||||||||
| City: | PEARLAND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 775847298 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7134420000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 645 N MICHIGAN AVE STE 440 | ||||||||
| Address2: | |||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606115899 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3125033649 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/14/2017 | ||||||||
| LastUpdateDate: | 11/02/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/02/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | U0320 | TX | N | Allopathic & Osteopathic Physicians | Ophthalmology | 207WX0107X | U0320 | TX | N | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207W00000X | 036-155742 | IL | Y | Allopathic & Osteopathic Physicians | Ophthalmology |
No ID Information.