MEDICARE: DR. JOHN RICHARD CHANDLER MD

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	L7684	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518958701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN RICHARD CHANDLER MD

Provider Business Mailing Address
First Line	:	6000 W 9TH AVE
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79106-1702
Country	:	US
Telephone Number	:	806-355-9531
Fax Number	:	806-355-0938

Provider Business Practice Location Address
First Line	:	6000 W 9TH AVE
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79106-1702
Country	:	US
Telephone Number	:	806-355-9531
Fax Number	:	806-355-0938

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

Provider Enumeration Date	:	11/04/2005
Last Update Date	:	11/23/2009

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