Individual
JIMMY MARTIN CHAMNESS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2901 N. 4TH ST., LONGVIEW, TX 75605-5128
(903) 247-2050
(903) 934-8280
Mailing address
PO BOX 614, LONGVIEW, TX 75606-0614
(903) 247-2050
(903) 934-8280
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G8043
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122530205
—
TX
Enumeration date
03/01/2006
Last updated
03/17/2021
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