Ted A Chaka is a Physician Assistant in Abilene, Texas. Ted A Chaka practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Ted A Chaka is 1780613414. The last update date is 2020-05-19.
Ted A Chaka's current location address is 2074 Antilley Rd, Abilene, Texas. You can contact this provider via phone number 3256983865 and fax number 3257931295. The mailing address for Ted A Chaka is 2074 Antilley Rd, Abilene, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ted A Chaka |
|---|---|
| Address | 2074 Antilley Rd, Abilene, Texas |
| Phone Number | 3256983865 |
| Fax Number | 3257931295 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1780613414 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2020-05-19 |
Provider Mailing Address Detail
| Address | 2074 Antilley Rd |
|---|---|
| City | Abilene |
| State | Texas (TX) |
| Post Code | 7960652090 |
| Phone Number | 3256983865 |
| Fax Number | 3257931295 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA04129 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA04129 | TX | TX STATE PA LICENSE |
Post Comment/ Review Below
What is the Ted A Chaka's 1780613414?
The Ted A Chaka's NPI (National Provider Identifier) Number is 1780613414. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Ted A Chaka is physically located?
The Ted A Chaka is situated at the following address: 2074 Antilley Rd, Abilene, TX 7960652090.
What is the area of specialization for Ted A Chaka, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ted A Chaka is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Ted A Chaka receive the assignment of its 1780613414 from the Centers for Medicare & Medicaid Services?
The Ted A Chaka was issued its 1780613414 by the Centers for Medicare & Medicaid Services on 2006-07-03.
As of what date was the information pertaining to Ted A Chaka, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ted A Chaka, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-05-19.
NPI Number: 1104829308
Address: 1009 North State Of Franklin Access Road, Johnson City, TN