Individual
CHELSEY SOUTHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6401 HARRIS PKWY STE 120, FORT WORTH, TX 76132-6100
(817) 346-9111
(817) 346-9714
Mailing address
8508 HORNBEAM DR, FORT WORTH, TX 76123-5048
(817) 300-6727
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
A13241
TX
Other
Enumeration date
01/31/2019
Last updated
02/16/2022
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