Individual
ARCHANA CHANDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
502 N VALLEY PKWY, SUITE 1, LEWISVILLE, TX 75067-3437
(972) 353-8616
(972) 353-5352
Mailing address
502 N VALLEY PKWY, SUITE 1, LEWISVILLE, TX 75067-3437
(972) 353-8616
(972) 353-5352
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K8724
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144206301
—
TX
05
—
144206302
—
TX
05
—
144206303
—
TX
05
—
144206304
—
TX
05
—
144206305
—
TX
05
—
144206306
—
TX
05
—
144206307
—
TX
05
—
144206308
—
TX
05
—
144206309
—
TX
05
—
144206311
—
TX
05
—
144206312
—
TX
05
—
144206313
—
TX
01
—
81Y187
BCBS
TX
Enumeration date
03/14/2006
Last updated
04/30/2013
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