Individual
MR. JASON SCOTT CHASTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
901 W WALL ST, SUITE101, GRAPEVINE, TX 76051-7419
(817) 488-6669
(817) 488-6671
Mailing address
901 W WALL ST, SUITE101, GRAPEVINE, TX 76051-7419
(817) 488-6669
(817) 488-6671
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA02577
TX
Other
Enumeration date
01/04/2012
Last updated
06/17/2015
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