Individual
GARY W CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
809 SW ALSBURY BLVD STE 4, 2696 PINNACLE, BURLESON, TX 76028-9201
(817) 295-3799
(817) 295-4530
Mailing address
809 SW ALSBURY BLVD STE 4, 2696 PINNACLE, BURLESON, TX 76028-9201
(817) 295-3799
(817) 295-4530
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0929
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00JD55
BLUE CROSS BLUE SHEILD
TX
05
—
127206401
—
TX
01
—
480021805
RAILROAD
TX
Enumeration date
06/06/2006
Last updated
01/15/2013
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