Individual
SHELLEY CHISUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
6544 GREATWOOD PKWY STE A, SUGAR LAND, TX 77479-6808
(832) 648-3306
Mailing address
6544 GREATWOOD PKWY STE A, SUGAR LAND, TX 77479-6808
(832) 648-3306
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
210805
TX
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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