Individual
MS. CATHLEEN YVONNE CHIDESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002189
MI
363A00000X
Physician Assistant
Primary
PA05324
TX
363AM0700X
Medical Physician Assistant
Primary
PA05324
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841756236
NIKKO DERMATOLOGY PLLC
TX
01
—
1841756236
GROUP NPI
—
Enumeration date
01/20/2006
Last updated
07/10/2026
Update your record
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