Individual
JEFFREY MASON CHAMBLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-9063
(214) 456-2084
(214) 456-8317
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-9063
(214) 456-2084
(214) 456-8317
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Q8703
TX
208000000X
Pediatrics Physician
Q8703
TX
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
Q8703
TX
Other
Enumeration date
05/07/2013
Last updated
08/20/2018
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