Shaunteel L Chalk, CNM | |
4000 Garth Rd Ste 200, Baytown, TX 77521-3169 | |
(281) 886-7566 | |
Not Available |
Full Name | Shaunteel L Chalk |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 4000 Garth Rd Ste 200, Baytown, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578275632 | NPI | - | NPPES |
1102085 | Other | TX | TEXAS BOARD OF NURSING |
941010 | Other | TX | TEXAS BOARD OF NURSING |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 941010 (Texas) | Secondary |
367A00000X | Advanced Practice Midwife | 1102085 (Texas) | Primary |
Entity Name | Privia Medical Group Gulf Coast Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578969465 PECOS PAC ID: 4688999022 Enrollment ID: O20150206000763 |
Mailing Address | Practice Location Address |
---|---|
Shaunteel L Chalk, CNM 1200 Binz St Ste 1490, Houston, TX 77004-6946 Ph: (713) 512-7700 | Shaunteel L Chalk, CNM 4000 Garth Rd Ste 200, Baytown, TX 77521-3169 Ph: (281) 886-7566 |
Mazeline Cruz, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1674 W Baker Rd Ste A, Baytown, TX 77521 Phone: 281-837-2100 | |
Mrs. Brenda R Hughes, CNM RN BSN Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1674 W Baker Rd, Suite A, Baytown, TX 77521 Phone: 281-837-2100 Fax: 281-837-8878 | |
Kamille Briana Perkins, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1674 W Baker Rd Ste A, Baytown, TX 77521 Phone: 281-837-2100 |