Chance Iii, John R

Chance Iii, John R is an sole proprietor health care provider with primary practice located at 6704 Randolph Blvd , Live Oak TX 78233-4222. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Chance Iii, John R can be contacted via phone (210) 477-5151.

Contact Information

Primary practice address
6704 Randolph Blvd Live Oak TX 78233-4222
Phone: (210) 477-5151
Fax: (210) 477-5152
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X K5269 Texas
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X K5269 Texas

Profile Details

NPI number 1114084365
LBN Legal business name Chance Iii, John R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
Last updated Jan 25th, 2022 - about 2 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 1114084365 NPPES
Texas Other P00983033 RAILROAD MEDICARE

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