Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | Q3492 | TX |
NPI | 1003174954 |
---|---|
Provider Name | Alvin A Chandra |
First Address | Dallas, TX 75284-7208 |
Second Address | Dallas, TX 75390-7708 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2012 |
Last Update Date | 18/07/2019 |