Samuel John Chantilis
Reproductive Endocrinologist
8160 Walnut Hill Ln Suite 328
Dallas
, Texas 75231-4339
Samuel John Chantilis
Reproductive Endocrinologist
8160 Walnut Hill Ln Suite 328
Dallas
, Texas 75231-4339
(214) 363-0639
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About
Features
Specialties
- Reproductive Endocrinologist
Languages spoken
- English
Location
First Address
- Samuel John Chantilis
- 8160 Walnut Hill Ln Suite 328
- Dallas, TX
- Zip : 75231-4339
- Fax : (214) 363-0639
- Phone : (214) 363-5965
Second Address
- Samuel John Chantilis
- 8160 Walnut Hill Ln Suite 328
- Dallas, TX
- Zip : 75231-4339
- Fax : (214) 363-0639
- Phone : (214) 363-5965
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VE0102X | Reproductive Endocrinologist | H3864 | TX |
National Provider Identifier
| NPI | 1386696052 |
|---|---|
| Provider Name | Samuel John Chantilis |
| First Address | Dallas, TX 75231-4339 |
| Second Address | Dallas, TX 75231-4339 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F29996 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.