Organization
PLANO IVF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL J CHANTILIS MD (MEDICAL DIRECTOR)
(214) 363-5965
Entity
Organization
Contact information
Practice address
6300 W. PARKER ROAD, MOB-2, SUITE G26, PLANO, TX 75093
(214) 363-5965
(214) 363-0639
Mailing address
5477 GLEN LAKES DR STE 200, DALLAS, TX 75231-4381
(214) 363-5965
(214) 363-0639
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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