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NPI Code Detail

MEDICARE: DR. JAMES LANE CHADBURN D.P.M.

MEDICARE: DR. JAMES LANE CHADBURN D.P.M.
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
1213E00000XPodiatristDPM200003LA
2213E00000XPodiatristDPM0000000667TN

General Provider Information

NPI Number : 1679501399
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES LANE CHADBURN D.P.M.
Provider Business Mailing Address
First Line : 2601 VETERANS DR
Second Line :
City : HARLINGEN
State : TX
Zip : 78550-8942
Country : US
Telephone Number : 956-291-9000
Fax Number :
Provider Business Practice Location Address
First Line : 2601 VETERANS DR
Second Line :
City : HARLINGEN
State : TX
Zip : 78550-8942
Country : US
Telephone Number : 956-291-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2006
Last Update Date : 04/10/2015

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