Individual provider · Type 1 NPI

Audrey Jacqueline Chan, MD

Pediatric Dermatology Physician · Houston, TX

NPI number 1306161179 Active

Practice location

6701 Fannin St, Suite 670
Houston, TX 77030-2608

Mailing address

7500 Kirby Dr, Apt. 633
Houston, TX 77030-4300

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dermatology Physician Primary 207NP0225XQ0233 (TX)
Pediatrics Physician 208000000XQ0233 (TX)
Dermatology Physician 207N00000XQ0233 (TX)

Pediatric Dermatology Physician: A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.

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About NPI 1306161179

Audrey Jacqueline Chan, MD's National Provider Identifier is 1306161179, issued on Apr 5, 2010. The primary taxonomy on file is Pediatric Dermatology Physician (207NP0225X), and the practice location is in Houston, TX. The record was last updated on Aug 22, 2024.