Individual
CHANTELLE MARIE DECROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2401 S 31ST ST, DIVISION OF PLASTIC SURGERY, TEMPLE, TX 76508-0001
(254) 724-0630
Mailing address
2401 S 31ST ST, DIVISION OF PLASTIC SURGERY, TEMPLE, TX 76508-0001
(254) 724-0630
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
BP10037397
TX
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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