Individual
MICHAEL J CHANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 RANCH ROAD 620 S STE 130, LAKEWAY, TX 78734-3966
(512) 614-4111
(512) 614-4183
Mailing address
2935 THOUSAND OAKS DR STE 294, SAN ANTONIO, TX 78247-3563
(210) 494-1100
(210) 494-1117
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
E4248
TX
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
E4248
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
E4248
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0029638
TX DPS CERT
TX
01
—
E4248
MED LICENSE
TX
Enumeration date
07/12/2006
Last updated
03/07/2023
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