Basic Information
| Provider Information | |||||||||
| NPI: | 1558488718 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | KIRK A. CHANDLER, DO PA | ||||||||
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| OtherOrganizationName: | CHANDLER FAMILY HEALTH | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8001 N MESA ST | ||||||||
| Address2: | SUITE E BOX 304 | ||||||||
| City: | EL PASO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 799321736 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9158864577 | ||||||||
| FaxNumber: | 9158864579 | ||||||||
| Practice Location | |||||||||
| Address1: | 929 S. MAIN | ||||||||
| Address2: | B | ||||||||
| City: | ANTHONY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 79821 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9158864577 | ||||||||
| FaxNumber: | 9158864579 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/23/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | CHANDLER | ||||||||
| AuthorizedOfficialFirstName: | KIRK | ||||||||
| AuthorizedOfficialMiddleName: | A | ||||||||
| AuthorizedOfficialTitleorPosition: | DO PA | ||||||||
| AuthorizedOfficialTelephone: | 9158864577 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | D. O. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | F3429 | TX | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.