Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | F9291 | TX |
NPI | 1033223821 |
---|---|
Provider Name | Dr. Phillip Lee Chaney |
First Address | Temple, TX 76502-7163 |
Second Address | Temple, TX 76508-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2006 |
Last Update Date | 20/07/2007 |