Individual
CHELSEA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18003 ALMOND PLACE LN, RICHMOND, TX 77407-5080
(903) 520-1405
Mailing address
18003 ALMOND PLACE LN, RICHMOND, TX 77407-5080
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
916569
TX
363LF0000X
Family Nurse Practitioner
Primary
1153249
TX
Other
Enumeration date
04/26/2018
Last updated
12/04/2024
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