Provider Demographics
NPI:1811203524
Name:AKIN CHANDLER MD PLLC
Entity Type:Organization
Organization Name:AKIN CHANDLER MD PLLC
Other - Org Name:MIDLAND SKIN CANCER CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:
Authorized Official - Last Name:AKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:432-689-2512
Mailing Address - Street 1:5117 SUNMORE CIR
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79707-5124
Mailing Address - Country:US
Mailing Address - Phone:432-689-2512
Mailing Address - Fax:432-689-2108
Practice Address - Street 1:5117 SUNMORE CIR
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79707-5124
Practice Address - Country:US
Practice Address - Phone:432-689-2512
Practice Address - Fax:432-689-2108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-19
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM6490207N00000X, 207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic SurgeryGroup - Single Specialty
No207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty