Individual
MARIE BLANCHE N TCHETGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4370 MEDICAL ARTS DR STE 340, FLOWER MOUND, TX 75028
(972) 394-4500
(214) 513-2059
Mailing address
3600 GASTON AVE STE 1205, DALLAS, TX 75246-1812
(214) 692-8262
(214) 513-2059
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
L3497
TX
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
L3497
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
338520504
—
TX
05
—
338520505
—
TX
Enumeration date
09/23/2005
Last updated
01/30/2024
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