Individual
CHASE CLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 4TH ST STOP 8182, LUBBOCK, TX 79430-8182
(806) 743-2981
Mailing address
910 MILWAUKEE AVE, APT 1012, LUBBOCK, TX 79416-5969
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
BP10043353
TX
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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