| Chara Consulting And Training Solutions Pllc | |
|
1007 W Gentry Pkwy Tyler TX 75702-4427 | |
| (903) 705-1776 | |
| Not Available |
| Full Name | Chara Consulting And Training Solutions Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1007 W Gentry Pkwy, Tyler, Texas |
| Authorized Official Name and Position | Keshia Neal (OWNER) |
| Authorized Official Contact | 9037051776 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chara Consulting And Training Solutions Pllc 2401 Surrey Cir Tyler TX 75701-6313 Ph: (903) 422-9136 | Chara Consulting And Training Solutions Pllc 1007 W Gentry Pkwy Tyler TX 75702-4427 Ph: (903) 705-1776 |
| NPI Number | 1962110312 |
|---|---|
| Provider Enumeration Date | 11/14/2022 |
| Last Update Date | 03/01/2023 |
| Medicare PECOS PAC ID | 6103297148 |
|---|---|
| Medicare Enrollment ID | O20230130001296 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962110312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Onissa S Mitchell-fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255752432 PECOS PAC ID: 5991923336 Enrollment ID: I20140827001959 |
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