Organization
FEMVIDA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE ELAINE CHUPP M.D. (DIRECTOR/OWNER)
(432) 262-3822
Entity
Organization
Contact information
Practice address
1211 W ILLINOIS AVE, MIDLAND, TX 79701-6158
(432) 262-3822
(432) 262-4824
Mailing address
1211 W ILLINOIS AVE, MIDLAND, TX 79701-6158
(432) 262-3822
(432) 262-4824
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
H6119
TX
Other
Enumeration date
09/02/2014
Last updated
11/03/2014
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