Individual
MS. CATHLEEN YVONNE CHIDESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2112 W DAVIS ST, CONROE, TX 77304-2049
(713) 960-1311
(713) 960-1325
Mailing address
4707 EIGEL ST STE 100, HOUSTON, TX 77007-3417
(713) 960-1311
(713) 960-1325
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002189
MI
363A00000X
Physician Assistant
Primary
PA05324
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841756236
GROUP NPI
—
Enumeration date
01/20/2006
Last updated
04/28/2026
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