Individual
COURTNEY BROOKS CHISM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
705 E MARSHALL AVE STE 1002, LONGVIEW, TX 75601-5660
(903) 759-7200
Mailing address
23139 N WATERLAKE DR, RICHMOND, TX 77406-9614
(281) 660-3276
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
T8783
TX
Other
Enumeration date
04/11/2019
Last updated
11/04/2024
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