Healthcare Provider Details

I. General information

NPI: 1992907315
Provider Name (Legal Business Name): CHAD BEST MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2007
Last Update Date: 12/19/2024
Certification Date: 12/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 MADISON OAK DR STE 620
SAN ANTONIO TX
78258-3924
US

IV. Provider business mailing address

PO BOX 5730
BELFAST ME
04915-5700
US

V. Phone/Fax

Practice location:
  • Phone: 210-640-1630
  • Fax: 210-640-1631
Mailing address:
  • Phone: 888-402-7256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License Number19546
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License NumberR9470
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: