Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 261836 | MA |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | Q0422 | TX |
NPI | 1477874873 |
---|---|
Provider Name | Dr. Andrew William Chambers |
First Address | Dallas, TX 75208-2363 |
Second Address | Dallas, TX 75208-2363 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2010 |
Last Update Date | 18/10/2016 |