Provider Demographics
NPI:1174573554
Name:CHIN, ASHLEY M (MD)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:M
Last Name:CHIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:12 THUNDER HOLLOW PL
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-5139
Mailing Address - Country:US
Mailing Address - Phone:832-265-3014
Mailing Address - Fax:936-321-3125
Practice Address - Street 1:6318 FM 1488 RD
Practice Address - Street 2:SUITE 100
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-2763
Practice Address - Country:US
Practice Address - Phone:936-321-3110
Practice Address - Fax:936-321-3125
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL6827207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX167652001Medicaid
TXA0129963OtherDPS
TXBC8472677OtherDEA
TXBC8472677OtherDEA
TXA0129963OtherDPS