Provider Demographics
NPI:1811071202
Name:CHANDLER, SARAH R (MD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:R
Last Name:CHANDLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:101 S PARK DR
Mailing Address - Street 2:B
Mailing Address - City:BROWNWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76801-5917
Mailing Address - Country:US
Mailing Address - Phone:325-646-3502
Mailing Address - Fax:325-643-6567
Practice Address - Street 1:101 S PARK DR
Practice Address - Street 2:B
Practice Address - City:BROWNWOOD
Practice Address - State:TX
Practice Address - Zip Code:76801-5917
Practice Address - Country:US
Practice Address - Phone:325-646-3502
Practice Address - Fax:325-643-6567
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH0244207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80842YOtherBLUE CROSS BLUE SHIELD
TX133531703Medicaid
TX133531703Medicaid
14362Medicare UPIN