Provider Demographics
NPI:1275257792
Name:CHANDLER, MEGAN CORI (CRNA)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:CORI
Last Name:CHANDLER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:89 HARMON CIR
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:TX
Mailing Address - Zip Code:75459-2430
Mailing Address - Country:US
Mailing Address - Phone:903-718-0811
Mailing Address - Fax:
Practice Address - Street 1:5016 US HWY 75
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-4584
Practice Address - Country:US
Practice Address - Phone:903-416-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-28
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1095399367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered