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:
Health care specialties
Specialty | Code | License # | 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 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114084365 | NPPES |
Texas | Other | P00983033 | RAILROAD MEDICARE |
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