Individual
CHANDRA JOY TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 FM 723 RD, RICHMOND, TX 77406-9232
(832) 223-3970
Mailing address
23600 FM 1093 RD APT 820, RICHMOND, TX 77406-7825
(503) 544-7360
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6722
TX
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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