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Individual

DR. OSCAR JACK CHASTAIN III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
701 E MARSHALL AVE, SUITE 504, LONGVIEW, TX 75601-5659
(903) 315-2777
(903) 315-2771
Mailing address
PO BOX 4207, LONGVIEW, TX 75606-4207
(903) 315-4119
(903) 315-4130

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
F6524
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
043391401
TX
Enumeration date
08/10/2005
Last updated
12/19/2023
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