Healthcare Provider Details

I. General information

NPI: 1699161174
Provider Name (Legal Business Name): CHELSEY ELIZABETH STRAIGHT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHELSEY ELIZABETH STRAIGHT MD

II. Dates (important events)

Enumeration Date: 04/10/2015
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8701 W HIGHWAY 71 STE 101
AUSTIN TX
78735-8380
US

IV. Provider business mailing address

8701 W HIGHWAY 71 STE 101
AUSTIN TX
78735-8380
US

V. Phone/Fax

Practice location:
  • Phone: 512-766-2610
  • Fax: 512-766-2620
Mailing address:
  • Phone: 512-766-2610
  • Fax: 512-662-6207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberS6533
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License NumberS6533
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: