Individual
SUSAN C. CHESIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3600 GASTON AVE, WADLEY TOWER, SUITE 651, DALLAS, TX 75246-1800
(214) 820-9115
(214) 820-9135
Mailing address
3600 GASTON AVE, WADLEY TOWER, SUITE 651, DALLAS, TX 75246-1800
(214) 820-9115
(214) 820-9135
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
707057
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307523601
—
TX
Enumeration date
10/02/2012
Last updated
03/30/2022
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