Individual
SAMUEL JOHN CHANTILIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8160 WALNUT HILL LN, SUITE 328, DALLAS, TX 75231-4339
(214) 363-5965
(214) 363-0639
Mailing address
8160 WALNUT HILL LN, SUITE 328, DALLAS, TX 75231-4339
(214) 363-5965
(214) 363-0639
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
H3864
TX
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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