Provider Demographics
NPI:1346001641
Name:CHAMBERLAIN HEALTH, LLC
Entity Type:Organization
Organization Name:CHAMBERLAIN HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMBERLAIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:281-633-1665
Mailing Address - Street 1:2710 FRANCISCO ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78702-3921
Mailing Address - Country:US
Mailing Address - Phone:281-633-1665
Mailing Address - Fax:512-861-1868
Practice Address - Street 1:2710 FRANCISCO ST UNIT 1
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78702-3921
Practice Address - Country:US
Practice Address - Phone:281-633-1665
Practice Address - Fax:512-861-1868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-23
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty