Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 2005019899 | MO |
Y | 208000000X | Pediatrician | M8582 | TX |
N | 2080P0207X | Pediatric Hematology-Oncologist | 2005019899 | MO |
NPI | 1033156757 |
---|---|
Provider Name | Lajuan Jones Chambers |
First Address | Lake Dallas, TX 75065-1838 |
Second Address | Mckinney, TX 75071 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2006 |
Last Update Date | 13/09/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
195552803 | (05) | TX |
195552804 | (05) | TX |
199409 | BLUE CHOICE (01) | MO |
199409 | BLUE SHIELD (01) | MO |
207407305 | (05) | MO |
714644 | HEALTHLINK (01) | MO |
8BQ024 | BCBS (01) | TX |
I40002 | (02) | MO |