Healthcare Provider Details

I. General information

NPI: 1720325368
Provider Name (Legal Business Name): CHARTWELL MEDICAL SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2013
Last Update Date: 01/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2225 E RANDOL MILL RD SUITE 101
ARLINGTON TX
76011-6315
US

IV. Provider business mailing address

PO BOX 121390
ARLINGTON TX
76012-1390
US

V. Phone/Fax

Practice location:
  • Phone: 817-583-8201
  • Fax:
Mailing address:
  • Phone: 817-583-8201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name: CONSTANCE A CRUTCHFIELD
Title or Position: OWNER
Credential:
Phone: 817-583-8201