# CHUDLEIGH, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Transition Geriatrics Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003295429
- **Authorized official:** JAMES C CHUDLEIGH MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (512) 452-2100

## Contact information

- **Practice address:** 3724 EXECUTIVE CENTER DR, STE 230, AUSTIN, TX 78731-1646
- **Practice address phone:** (512) 452-2100
- **Practice address fax:** (855) 456-7410
- **Mailing address:** 3724 EXECUTIVE CENTER DR, STE 230, AUSTIN, TX 78731-1646
- **Mailing address phone:** (512) 452-2100
- **Mailing address fax:** (855) 456-7410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 364SG0600X | Gerontology Clinical Nurse Specialist | F1450 | TX | Yes |

## Other

- **Enumeration date:** 05/19/2015
- **Last updated:** 05/19/2015