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NPI Code Detail

MEDICARE: MRS. FONDA R CHESSON PA-C

MEDICARE: MRS. FONDA R CHESSON PA-C
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
1363AM0700XMedical Physician AssistantPA03144TX
2363A00000XPhysician AssistantPA03144TX

General Provider Information

NPI Number : 1154333870
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. FONDA R CHESSON PA-C
Provider Business Mailing Address
First Line : 425 W COLONIAL DR STE 303
Second Line :
City : ORLANDO
State : FL
Zip : 32804-6863
Country : US
Telephone Number : 321-343-6833
Fax Number : 830-792-5800
Provider Business Practice Location Address
First Line : 723 HILL COUNTRY DR STE C
Second Line :
City : KERRVILLE
State : TX
Zip : 78028-6043
Country : US
Telephone Number : 830-792-5800
Fax Number : 830-896-2625
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2006
Last Update Date : 11/11/2025

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Directions to “ MRS. FONDA R CHESSON PA-C” Practice Location

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