Individual
DR. DOUGLAS FRANKLIN CHITSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3419 JOHNSON AVE, SAN ANGELO, TX 76904-5554
(325) 949-9696
(325) 949-7989
Mailing address
3419 JOHNSON AVE, SAN ANGELO, TX 76904-5554
(325) 949-9696
(325) 949-7989
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18076
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
824601
UNITED CONCORDIA
TX
01
—
D18076
BCBS
TX
Enumeration date
08/10/2006
Last updated
07/08/2007
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