Kin Yee Chan

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H7954 Issued in TX

Legal business name

KIN YEE CHAN

Doing business as

Space Center Family Practice

Practice address

907 Bay Area Blvd
Suite B
Houston, TX 77058-2603

Phone

(281) 286-6000

Fax

(281) 488-8686

NPI assigned

Jun 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kin Chan, M.D.NPI 1770584385

Title

President

Phone

(281) 286-6000

Specialties & licenses 1

Addresses

Other names 1

• Space Center Family Practice Doing business as

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kin Yee Chan, M.D.

  • Family Medicine Physician
  • Houston, TX
  • NPI 1770584385
  NPD (past) Authorized official
• Paul Tse, M.D.

  • Internal Medicine Physician
  • Sugar Land, TX
  • NPI 1629279153
  NPD (past)
• Deran Y. Wong, MD

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1194089722
  NPD (past)

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477756005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 BAY AREA BLVD",
            "address_2": "SUITE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582603",
            "telephone_number": "281-286-6000",
            "fax_number": "281-488-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 BAY AREA BLVD",
            "address_2": "SUITE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582603",
            "telephone_number": "281-286-6000",
            "fax_number": "281-488-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIN YEE CHAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "KIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-286-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H7954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Space Center Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimmons Care Inc.
• Kimmy Pharmacy, LLC.
• Kimmy Pharmacy, LLC.
• Alice Kimoro, MD
• Stacy Marie Kimpel, PT
• Kina Healthcare Services Inc
• Kina Healthcare Services, Inc
• Holly L Kinahan, ANP-C
• Margaret Kinalska, M.D.
• Christina Renee Kinate, OD

• Family Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.