Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 12370 | TX |
NPI | 1952749814 |
---|---|
Provider Name | Chelsea Nicole Felton |
First Address | Fort Worth, TX 76179-6706 |
Second Address | Saginaw, TX 76179-1020 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2013 |
Last Update Date | 12/06/2013 |