Provider Demographics
NPI:1922381839
Name:CHANDLER, PRESTON JAMES III (MD)
Entity Type:Individual
Prefix:DR
First Name:PRESTON
Middle Name:JAMES
Last Name:CHANDLER
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1595 LAKE FRONT CIR
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3604
Mailing Address - Country:US
Mailing Address - Phone:281-292-8980
Mailing Address - Fax:281-292-8070
Practice Address - Street 1:1595 LAKE FRONT CIR
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3604
Practice Address - Country:US
Practice Address - Phone:281-292-8980
Practice Address - Fax:281-292-8070
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-27
Last Update Date:2011-09-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ5148208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery