Individual
DR. CHAD MARTIN AMOSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6957 W PLANO PKWY STE 1300, PLANO, TX 75093-1621
(972) 820-1400
(972) 820-1020
Mailing address
6957 W PLANO PKWY STE 1300, PLANO, TX 75093-1621
(972) 820-1400
(972) 820-1020
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
L4219
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109379104
—
TX
05
—
157087101
—
TX
05
—
157087103
—
TX
05
—
157087105
—
TX
05
—
157087106
—
TX
05
—
157087108
—
TX
Enumeration date
08/10/2005
Last updated
04/02/2021
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