Individual
DR. EARL ROBERT CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
801 E 3RD ST, HEREFORD, TX 79045-5727
(806) 349-9100
Mailing address
215 SANDALWOOD STREET, HEREFORD, TX 79045-3707
(806) 364-4266
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L0076
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0079GG
BCBS TEXAS
TX
05
—
141117506
—
TX
Enumeration date
07/06/2006
Last updated
04/28/2009
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