Provider Demographics
NPI:1790887362
Name:CHAMBERS, STEVEN M (CRNA)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:M
Last Name:CHAMBERS
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4040 N CENTRAL EXPY STE 600
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-3147
Mailing Address - Country:US
Mailing Address - Phone:214-520-5743
Mailing Address - Fax:214-520-5786
Practice Address - Street 1:1441 N BECKLEY AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75203-1201
Practice Address - Country:US
Practice Address - Phone:214-947-1619
Practice Address - Fax:214-947-1640
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX709532367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX85790UOtherBLUE CROSS BLUE SHIELD
TX85790UOtherBLUE CROSS BLUE SHIELD