Organization
CHASTANT AND ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JASON CHASTANT ACNP-BC (NURSE PRACTITIONER)
(903) 707-0144
Entity
Organization
Contact information
Practice address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(903) 531-8109
Mailing address
9293 COUNTY ROAD 3418, BROWNSBORO, TX 75756-5521
(903) 707-0144
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/17/2024
Last updated
08/17/2024
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