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NPI Code Detail

MEDICARE: DR. CHRISTOPHER CODY CHANDLER D.C.

MEDICARE: DR. CHRISTOPHER CODY CHANDLER D.C.
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
1111N00000XChiropractor10817TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3663172OTHERTXSTERLING MEDICARE ADVANTAGE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18V0492OTHERTXBCBSTX
21306015276OTHERTXBCBSTX

General Provider Information

NPI Number : 1306015276
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER CODY CHANDLER D.C.
Provider Business Mailing Address
First Line : 403 STATE HIGHWAY 110 N
Second Line :
City : WHITEHOUSE
State : TX
Zip : 75791-3109
Country : US
Telephone Number : 903-839-1000
Fax Number : 903-839-4000
Provider Business Practice Location Address
First Line : 403 STATE HIGHWAY 110 N
Second Line :
City : WHITEHOUSE
State : TX
Zip : 75791-3109
Country : US
Telephone Number : 903-839-1000
Fax Number : 903-839-4000
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2008
Last Update Date : 02/29/2012

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Directions to “ DR. CHRISTOPHER CODY CHANDLER D.C.” Practice Location

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