CHUDLEIGH, PA; NPI #1003295429

Contact Information

CHUDLEIGH, PA

3724 EXECUTIVE CENTER DR
STE 230
AUSTIN, TX 78731-1646

Phone: 512-452-2100
Fax: 855-456-7410
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Gerontology	364SG0600X	89	Certified Clinical Nurse Specialist

Indicates primary specialty

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NPI Profile & details for CHUDLEIGH, PA

NPI Number 1003295429

LBN Legal business name CHUDLEIGH, PA

Authorized official JAMES CHUDLEIGH - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/19/2015

Last updated 05/19/2015 - About 11 years ago

Identifiers

TX	License #	F1450
TX	Other	00651Y	PTAN

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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