Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A148760 | CA |
Y | 2080P0214X | Pediatric Pulmonologist | S4763 | TX |
NPI | 1477994416 |
---|---|
Provider Name | Chelsea Ann Mary Gatcliffe |
First Address | Houston, TX 77030-1500 |
Second Address | Houston, TX 77030-3005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2013 |
Last Update Date | 12/08/2021 |