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Contact Information

MIMI CHAN, LLC
515A SOUTH FRY ROAD
SUITE #165
KATY, TX77450
 Phone: 832-916-2698
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for MIMI CHAN, LLC

NPI Number 1194080606
LBN Legal business name MIMI CHAN, LLC
Authorized official MIMI CHAN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/10/2012
Last updated 02/23/2016 - About 10 years ago
Identifiers
TX License # DT83652
NY Other 9050926 AETNA
NY Other 6236760 CIGNA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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