Individual
ALEXANDER B CHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-1100
Mailing address
200 W MAGNOLIA AVE STE 201, FT WORTH, TX 76104-7657
(817) 702-2977
(817) 702-2140
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A90536
CA
2086S0129X
Vascular Surgery Physician
59881
TN
2086S0129X
Vascular Surgery Physician
87410
SC
2086S0129X
Vascular Surgery Physician
A90536
CA
2086S0129X
Vascular Surgery Physician
Primary
V0258
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SC
Enumeration date
09/05/2006
Last updated
10/15/2024
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