Organization Active NPI

Pachie S Chan MD PLLC

  • Family Medicine Physician
  • Shenandoah, TX
National Provider Identifier
1013149392
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PACHIE S CHAN MD PLLC
Practice address
19073 Interstate 45 S
Suite 115
Shenandoah, TX 77385-8743
Phone
(936) 271-2227
Fax
(936) 271-2229
NPI assigned
Aug 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Pachie S Chan, M.D.
Title
MD
Phone
(936) 271-2227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

19073 Interstate 45 S
Suite 115
Shenandoah, TX 77385-8743

Mailing address

19073 Interstate 45 S
Suite 115
Shenandoah, TX 77385-8743
Phone (936) 271-2227

National Provider Directory

National Provider Directory

Locations

19073 Interstate 45 S
Ste 115
Shenandoah, TX 77385
Phone (936) 271-2227

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1013149392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19073 INTERSTATE 45 S",
            "address_2": "SUITE 115",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858743",
            "telephone_number": "936-271-2227",
            "fax_number": "936-271-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19073 INTERSTATE 45 S",
            "address_2": "SUITE 115",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858743",
            "telephone_number": "936-271-2227",
            "fax_number": "936-271-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACHIE S CHAN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "PACHIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "936-271-2227",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.