Individual
CARLA MARIE CHASTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, RNFA, CNOR
Contact information
Practice address
7301 CLEBURNE HWY, GRANBURY, TX 76049-2012
(817) 326-4215
Mailing address
PO BOX 6805, GRANBURY, TX 76049-0130
(817) 326-4215
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
257499
TX
Other
Enumeration date
01/22/2007
Last updated
01/28/2011
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