MEDICARE: DR. JAMES CHANEZ M.D.

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
1	207R00000X	Internal Medicine Physician	L3607	TX

General Provider Information

NPI Number	:	1093755316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES CHANEZ M.D.

Provider Business Mailing Address
First Line	:	8230 WALNUT HILL LN STE 414
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4469
Country	:	US
Telephone Number	:	214-363-6218
Fax Number	:	214-272-3282

Provider Business Practice Location Address
First Line	:	8230 WALNUT HILL LN STE 414
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4469
Country	:	US
Telephone Number	:	214-363-6218
Fax Number	:	214-272-3282

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	04/18/2022

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