MEDICARE: CHELSSEA MCALLISTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1639701519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSSEA MCALLISTER

Provider Business Mailing Address
First Line	:	14403 WALTERS RD # 680763
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77014-1336
Country	:	US
Telephone Number	:	281-455-6918
Fax Number	:	281-836-5939

Provider Business Practice Location Address
First Line	:	14403 WALTERS RD # 680763
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77014-1336
Country	:	US
Telephone Number	:	281-455-6918
Fax Number	:	281-836-5939

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2020
Last Update Date	:	02/07/2020

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Directions to “ CHELSSEA MCALLISTER ” Practice Location

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