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Individual

DR. NATALIE CHAMBLISS LIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8160 WALNUT HILL LN, SUITE #116, DALLAS, TX 75231-4339
(214) 365-1150
(214) 363-2477
Mailing address
555 REPUBLIC DR, SUITE # 460, PLANO, TX 75074-5481
(972) 644-2819
(972) 680-2949

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L7797
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
166581201
TX
Enumeration date
08/11/2005
Last updated
02/10/2022
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