Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | K8057 | TX |
N | 2081S0010X | Sports Medicine | K8057 | TX |
N | 213ES0000X | Sports Medicine | K8057 | TX |
NPI | 1285635029 |
---|---|
Provider Name | Craig A Chambers |
First Address | Allen, TX 75013-5022 |
Second Address | Allen, TX 75013-5022 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2005 |
Last Update Date | 17/02/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
043240301 | (05) | TX |
87040Y | BCBS (01) | |
8CR166 | BC/BS TX - EFFECT. 02/01/2011 (01) | TX |
H15994 | (02) | |
P00913324 | MEDICARE RAILROAD - EFFECT 02/01/2011 (01) | TX |
TXB117536 | MEDICARE PART B - EFFECT. 02/01/2011 (01) | TX |