Organization
CHUDLEIGH, PA
Active
Other names
Transition Geriatrics Group
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES C CHUDLEIGH MD (MEDICAL DIRECTOR)
(512) 452-2100
Entity
Organization
Contact information
Practice address
3724 EXECUTIVE CENTER DR, STE 230, AUSTIN, TX 78731-1646
(512) 452-2100
(855) 456-7410
Mailing address
3724 EXECUTIVE CENTER DR, STE 230, AUSTIN, TX 78731-1646
(512) 452-2100
(855) 456-7410
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
F1450
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00651Y
PTAN
TX
Enumeration date
05/19/2015
Last updated
05/19/2015
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