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Individual

MRS. AMBER AMY CHALAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5749 SAN FELIPE ST, HOUSTON, TX 77057-3101
(208) 251-3418
(855) 247-8787
Mailing address
1009 WINDCROSS CT, STE 101, FRANKLIN, TN 37067-2678
(615) 224-5438
(855) 247-8787

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08884
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
360473YWZ9
MEDICARE ID
TX
Enumeration date
01/16/2014
Last updated
11/07/2014
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