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Clifford Newton Chen

Pediatrics

Allopathic & Osteopathic Physicians

1935 Medical District Dr, Dallas, TX 75235-7701

PECOS Enrollment

This provider is enrolled in PECOS as CLIFFORD CHEN.

Based on the most recent information from CMS, provider Clifford Newton Chen is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 10:37 AM.

Profile Details

Provider ID
1831209691
Provider Type
Individual
Full Name
Chen, Clifford Newton
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
8/30/2006
Last Updated
11/22/2011

Contact Information

Practice Location

1935 Medical District Dr, Dallas, TX 75235-7701

(214) 456-0488

(214) 456-4486

Mailing Location

1935 Medical District Dr, Dallas, TX 75235-7701

(214) 456-0488

(214) 456-4486

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License M3987 Texas

Clifford Newton Chen

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Kodidhi, Anusha

Complex Care Medical Services Corporation

Patel, Rima H

Rajan, Divya Seetharam

Baker, Sarah

Nelson, Laurie Ann

Ahmad Anwar, Ayesha

Durham, Megan Rae

Dadwani, Anum

Escalante, Mirna