John Bradley Chenault in Greenville - Specialist/technologist

John Bradley Chenault - NPI 1225007107

John Bradley Chenault is a Specialist/technologist in Greenville, Texas. John Bradley Chenault practices all healthcare services and medical treatments related to Specialist/technologist. The NPI Number for John Bradley Chenault is 1225007107. The last update date is 2012-05-16.

John Bradley Chenault's current location address is 2112 Stonewall St, Greenville, Texas. You can contact this provider via phone number 9034555424 and fax number 9034558922. The mailing address for John Bradley Chenault is 2112 Stonewall St, Greenville, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name John Bradley Chenault
Address 2112 Stonewall St, Greenville, Texas
Phone Number 9034555424
Fax Number 9034558922
Sole Proprietor N
Credentials NBC-HIS; A

NPI Number Detail

NPI Number 1225007107
Provider Enumeration Date 2006-03-14
Last Updated Date 2012-05-16

Provider Mailing Address Detail

Address 2112 Stonewall St
City Greenville
State Texas (TX)
Post Code 754013344
Phone Number 9034555424
Fax Number 9034558922

Provider's Primary Taxonomy Detail

Speciality Specialist/technologist
Taxonomy 225500000X
Licence No 50067
Definition:
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
22438801 TX --
1871668970 TX --
528263 TX BLUE CROSS BLUE SHIELD

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FAQs about John Bradley Chenault

What is the unique 10-digit identifier code assigned to John Bradley Chenault by the Centers for Medicare & Medicaid Services?

The John Bradley Chenault has been issued the NPI (National Provider Identifier) 1225007107 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of John Bradley Chenault?

The John Bradley Chenault is situated at 2112 Stonewall St, in the city of Greenville, state of TX, with the zip code 754013344.

What is John Bradley Chenault's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for John Bradley Chenault is Specialist/technologist, and the taxonomy code that categorizes this field of expertise is 225500000X.

When was the John Bradley Chenault's 1225007107 issued?

The John Bradley Chenault's 1225007107 was issued on 2006-03-14.

When was the John Bradley Chenault's information last updated?

The John Bradley Chenault's information was last updated on 2012-05-16.

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