Individual
DOUGLAS CHACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
ASU STATION #10899, SAN ANGELO, TX 76909-0001
(316) 619-2772
Mailing address
ASU STATION #10899, SAN ANGELO, TX 76909-0001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT8318
TX
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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