Jonathan Chin
Individual provider Active NPI Surgical Assistant · Alvin, TX
NPI 1194259671 · NPPES record last updated Apr 12, 2017
Key facts
- NPI
- 1194259671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Assistant 246ZC0007X
- Practice address
- 1004 County Road 368
Alvin, TX 77511-9779 - Phone
- (512) 461-1015
- NPI assigned
- Apr 12, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | Yes | ||
| Surgical Physician Assistant | 363AS0400X |
Addresses
Primary practice location
1004 County Road 368
Alvin, TX 77511-9779
Mailing address
1004 County Road 368
Alvin, TX 77511-9779
Phone (512) 461-1015
Other providers in Alvin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.