Organization
JOHN R CHANCE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUANA F ESCOBEDO (CODER)
(210) 477-5151
Entity
Organization
Contact information
Practice address
12709 TOEPPERWEIN RD, SUITE 101, LIVE OAK, TX 78233-3259
(210) 477-5151
(210) 477-5152
Mailing address
12709 TOEPPERWEIN RD, SUITE 101, LIVE OAK, TX 78233-3259
(210) 477-5151
(210) 477-5152
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114084365
NPI
TX
Enumeration date
01/28/2009
Last updated
06/22/2010
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