Chamness, Jimmy Martin

Chamness, Jimmy Martin is an individual health care provider with primary practice located at 2901 N. 4Th St. , Longview TX 75605-5128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Chamness, Jimmy Martin can be contacted via phone (903) 247-2050.

Contact Information

Primary practice address
2901 N. 4Th St. Longview TX 75605-5128
Fax: (903) 934-8280
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G8043 Texas

Profile Details

NPI number 1801863709
LBN Legal business name Chamness, Jimmy Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Mar 17th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801863709 NPPES
Texas MEDICAID 122530205

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