Provider Demographics
NPI:1942237003
Name:CHAMBLEE, SOCORRO ALCALEN (MD)
Entity Type:Individual
Prefix:
First Name:SOCORRO
Middle Name:ALCALEN
Last Name:CHAMBLEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8080 STATE HIGHWAY 121
Mailing Address - Street 2:SUITE 120
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-2900
Mailing Address - Country:US
Mailing Address - Phone:214-383-5955
Mailing Address - Fax:214-383-5966
Practice Address - Street 1:2001 INWOOD RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-2900
Practice Address - Country:US
Practice Address - Phone:214-645-8898
Practice Address - Fax:214-645-8894
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6316174400000X, 207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX200191640Medicaid
TXG61499Medicare UPIN
TX200191640Medicaid