Individual
CHELSEY DENAE CHEATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1210 W BRAKER LN, AUSTIN, TX 78758-3801
(512) 978-9300
(512) 901-9737
Mailing address
1109 E BROADWAY ST, CUERO, TX 77954-2108
(361) 275-2800
(361) 275-8791
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18478
TX
363A00000X
Physician Assistant
PA65238
CA
Other
Enumeration date
11/22/2024
Last updated
11/29/2025
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