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Individual

CRAIG A CHAMBERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
977 RAINTREE CIR, SUITE 230, ALLEN, TX 75013-5022
(214) 383-6611
(214) 383-6614
Mailing address
977 RAINTREE CIR, SUITE 230, ALLEN, TX 75013-5022
(214) 383-6611
(214) 383-6614

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
K8057
TX
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
K8057
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
043240301
TX
01
87040Y
BCBS
01
8CR166
BC/BS TX - EFFECT. 02/01/2011
TX
01
P00913324
MEDICARE RAILROAD - EFFECT 02/01/2011
TX
01
TXB117536
MEDICARE PART B - EFFECT. 02/01/2011
TX
Enumeration date
08/02/2005
Last updated
02/17/2015
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