RAPHAEL KOK CHIN CHAN


Address: 2615 Fannin St, Houston, TX 77002-9224
Phone: 7132289411

RAPHAEL KOK CHIN CHAN (NPI# 1285661587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285661587
Entity Type Individual
Full Name RAPHAEL KOK CHIN CHAN
Credential MD
Practice Address 2615 Fannin St
Houston
TX 77002-9224
Mailing Address 6363 Dezavala St
Suite 200
San Antonio
TX 78249-2104
Practice Telephone 7132289411
Mailing Telephone 2102255666
Enumeration Date 2006-06-26
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Y00000X Otolaryngology 61523 MN Allopathic & Osteopathic Physicians
Y 207Y00000X Otolaryngology G5874 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1781355 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
501 Dr Michael Debakey Dr, Lake Charles, LA 706015724 3374338400 3373126813

Office Location

Street Address 2615 FANNIN ST
City HOUSTON
State TX
Zip Code 77002-9224

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235755059 Adlia Ebeid Pharmacist 2615 Fannin St, Houston, TX 77002-9224 2020-06-17
1023650249 Randall Flores Pharmacist 2615 Fannin St, Houston, TX 77002-9224 2019-10-09
1780238881 Portia Davis Pharmacist 2615 Fannin St, Houston, TX 77002-9224 2019-07-26
1013490648 Mariela Guzman Counselor 2615 Fannin St, Houston, TX 77002-9224 2018-09-10
1952756108 Elizabeth Barrera-sepulveda Counselor 2615 Fannin St, Houston, TX 77002-9224 2016-04-25
1790196426 Susana Rebeca Zambrano Marriage & Family Therapist 2615 Fannin St, Houston, TX 77002-9224 2014-05-15
1972914679 Catholic Charities Community/Behavioral Health 2615 Fannin St, Houston, TX 77002-9224 2014-05-15
1750674321 San Jose Clinic Clinic/Center 2615 Fannin St, Houston, TX 77002-9224 2011-05-16
1902995665 Norman Alan Shoenfeld Surgery 2615 Fannin St, Houston, TX 77002-9224 2006-10-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508487273 Victoria Ann Petruzzi Obstetrics & Gynecology 1401 St. Joseph Pkwy., Sks1106a, Houston, TX 77002 2020-05-04
1578182226 Quinn Adams Rhodes Student in an Organized Health Care Education/Training Program 1401 St. Joseph Pkwy, Susan K. Strake Building, 1st Floor, Sks1106a, Houston, TX 77002 2020-04-13
1508420563 Ines Tamzali Student in an Organized Health Care Education/Training Program 1401 St. Joseph Pkwy. Susan K. Strake Building, 1st F, Sks1106a, Houston, TX 77002 2019-04-25
1487163093 Mary Janella Blakey Home Health 500 Crawford St. Apt 344, Houston, TX 77002 2017-09-26
1306365374 Vanability, LLC Non-emergency Medical Transport (VAN) 700 Louisiana St. Suite 3950, Houston, TX 77002 2017-09-11
1720518509 Cara Adele Hankins Student in an Organized Health Care Education/Training Program 1401 St. Joseph Parkway Sks1106a, Houston, TX 77002 2017-06-14
1518414044 Wellness Pain & Associates Inc Clinic/Center 2000 Crawford Ste1600, Houston, TX 77002 2016-09-01
1699140327 Dcoa Physician Associates, Pa Internal Medicine 1819 Labranch, Houston, TX 77002 2015-12-07
1659740165 Mark Dickason Reimer Family Medicine 333 Clay Street, Three Allen Center, 5th Floor, Aramco Services Company Medical Clinic, Attn Dr. Reimer, Houston, TX 77002 2015-09-15
1588043053 Monique Lacole Lee Chiropractor 1315 St Joseph Pkwy Ste 1010, Houston, TX 77002 2015-05-29
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154937886 Robert Harold Miller Otolaryngology 2616 Wroxton Rd, Houston, TX 77005-1312 2020-09-18
1194374843 Yelda Jozaghi Otolaryngology 1515 Holcombe Blvd # 1445, Houston, TX 77030-4000 2019-09-05
1730568502 Marcus Hershey Otolaryngology 4101 Greenbriar Dr Ste 320, Houston, TX 77098-5296 2015-05-26
1124431994 Viran Jay Ranasinghe Otolaryngology 20207 Chasewood Park Dr Ste 100, Houston, TX 77070-1441 2014-06-09
1043635816 Eduardo Manuel Diaz Otolaryngology 9870 Gaylord Dr Apt 1112, Houston, TX 77024-2672 2014-03-03
1073956074 Jennifer Dang Otolaryngology 6550 Fannin St Ste 1727, Houston, TX 77030-2717 2013-04-10
1295094548 Daniel Peter Fox Otolaryngology 18400 Katy Fwy Ste 470, Houston, TX 77094-1287 2012-05-07
1922373653 Robert Nicholas Berezoski Otolaryngology 7123 Heron Dr, Houston, TX 77087-6723 2012-03-13
1659690493 Bruce Edison Otolaryngology 12010 Cobblestone Dr, Houston, TX 77024-5054 2010-05-19
1033344387 Kunal Sudhir Jain Otolaryngology 6400 Fannin St Ste 2700, Houston, TX 77030-1539 2009-05-15
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City HOUSTON
Zip Code 77002

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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