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Individual

DR. CHANDRA PAVAI CHELLAPPAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11803 SOUTH FWY STE 208, BURLESON, TX 76028-7030
(817) 551-9339
(817) 551-3757
Mailing address
11803 SOUTH FWY, SUITE 206, BURLESON, TX 76028-7012
(817) 551-9339
(817) 551-3757

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
N3552
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1447588827
TX
Enumeration date
11/24/2009
Last updated
05/30/2023
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