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NPI Code Detail

MEDICARE: MR. CHANDLER REID SINCLAIR

MEDICARE: MR. CHANDLER REID SINCLAIR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor67422TX

General Provider Information

NPI Number : 1023581089
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHANDLER REID SINCLAIR
Provider Business Mailing Address
First Line : 5910 N CENTRAL EXPY STE 1820
Second Line :
City : DALLAS
State : TX
Zip : 75206-0946
Country : US
Telephone Number : 214-363-2345
Fax Number :
Provider Business Practice Location Address
First Line : 5910 N CENTRAL EXPY STE 1820
Second Line :
City : DALLAS
State : TX
Zip : 75206-0946
Country : US
Telephone Number : 214-363-2345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2019
Last Update Date : 01/02/2019

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Directions to “ MR. CHANDLER REID SINCLAIR ” Practice Location

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