Individual
CHASE KNICKERBOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(305) 951-5085
Mailing address
9425 SW 181ST TER, SURGERY DEPT., PALMETTO BAY, FL 33157-5626
(305) 951-5085
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
S5410
TX
2086S0102X
Surgical Critical Care Physician
Primary
S5410
TX
Other
Enumeration date
04/10/2015
Last updated
06/06/2024
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