Individual
SHAUNTEEL L CHALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4000 GARTH RD STE 200, BAYTOWN, TX 77521-3169
(281) 886-7566
Mailing address
1200 BINZ ST STE 1490, HOUSTON, TX 77004-6946
(713) 512-7700
(240) 696-1353
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
941010
TX
367A00000X
Advanced Practice Midwife
Primary
1102085
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102085
TEXAS BOARD OF NURSING
TX
01
—
941010
TEXAS BOARD OF NURSING
TX
Enumeration date
12/21/2022
Last updated
03/19/2024
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