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Individual

CHEVELTA A BOSTICK-SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
2805 S MAYHILL RD, DENTON, TX 76208-5910
(940) 591-6700
(940) 320-1220
Mailing address
2805 S MAYHILL RD, DENTON, TX 76208-5910
(940) 591-6700
(940) 320-1220

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
25MB07958800
NJ
207V00000X
Obstetrics & Gynecology Physician
2983
WI
207V00000X
Obstetrics & Gynecology Physician
C2-0008113
DE
207V00000X
Obstetrics & Gynecology Physician
OS016822
PA
207V00000X
Obstetrics & Gynecology Physician
Primary
Q7326
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0154750
NJ
05
1028777090006
PA
Enumeration date
11/07/2006
Last updated
04/27/2026
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