Organization
CHIPPEWA MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKASH JAIN (CEO)
(214) 975-3960
Entity
Organization
Contact information
Practice address
7504 SAN JACINTO PL, PLANO, TX 75024-3233
(972) 769-7246
(469) 214-9985
Mailing address
17742 PRESTON RD, DALLAS, TX 75252-6199
(214) 975-3960
(469) 214-9985
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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