Individual
JENNIFER S CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
700 E MARSHALL AVE, LEMA, LONGVIEW, TX 75601-5580
(318) 572-0393
Mailing address
700 E MARSHALL AVE, LEMA, LONGVIEW, TX 75601-5580
(318) 572-0393
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
203089
LA
207P00000X
Emergency Medicine Physician
Primary
N5613
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01058
—
LA
Enumeration date
05/25/2007
Last updated
09/30/2011
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