Chastain, Oscar Jack

Chastain, Oscar Jack is an individual health care provider with primary practice located at 701 E Marshall Ave Suite 504, Longview TX 75601-5659. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Chastain, Oscar Jack can be contacted via phone (903) 315-2777.

Contact Information

Primary practice address
701 E Marshall Ave Suite 504 Longview TX 75601-5659
Phone: (903) 315-2777
Fax: (903) 315-2771
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X F6524 Texas

Profile Details

NPI number 1285635409
LBN Legal business name Chastain, Oscar Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Dec 19th, 2023 - 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 1285635409 NPPES
Texas MEDICAID 043391401

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