Individual
CHAD CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
103 MAX STARCKE DAM RD, SUITE 100, MARBLE FALLS, TX 78654
(830) 798-2082
(830) 693-0040
Mailing address
7800 SHOAL CREEK BLVD, STE 205-N, AUSTIN, TX 78757
(512) 206-4300
(512) 206-4376
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
PA01729
TX
363AM0700X
Medical Physician Assistant
Primary
PA01729
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89N253
BC/BS
TX
01
—
970017497
RAILROAD MEDICARE
TX
Enumeration date
08/18/2005
Last updated
04/10/2015
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