# CHAUNCY MIDDLETON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1265274955
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | TX | — |
| 202D00000X | Integrative Medicine Physician | 866204 | TX | — |
| 261QC1500X | Community Health Clinic/Center | — | TX | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | TX | Yes |

## Other

- **Enumeration date:** 06/12/2024
- **Last updated:** 06/14/2024