Samuel C. Chan, D.O., P.A.

LBN: Samuel C. Chan, D.O., P.A.
Samuel C. Chan, D.O., P.A. is an health care organization with primary practice located at 5787 S Hampton Rd Suite 300, Lb 134, Dallas TX 75232-2255. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Samuel C. Chan, D.O., P.A. can be contacted via phone (214) 330-3034, or through Chan, Samuel C. via phone (214) 330-3034.

Contact Information

Primary practice address
5787 S Hampton Rd Suite 300, Lb 134 Dallas TX 75232-2255
Phone: (214) 330-3034
Fax: (214) 330-3096
Website:
Map and Directions
Authorized official contact:
Name: Chan, Samuel C. Doctor of Osteopathy (DO)
Phone: (214) 330-3034

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1881656791
LBN Legal business name Samuel C. Chan, D.O., P.A.
DBA Doing business as
Authorized official Chan, Samuel C. Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2006
Last updated May 12th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881656791 NPPES
Texas MEDICAID 079946202
Texas Other 00128N
Texas Other 5900480001

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