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NPI Code Detail

MEDICARE: CHELSEA MEDICAL CENTER, LLC

MEDICARE: CHELSEA MEDICAL CENTER, LLC
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1285254391
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHELSEA MEDICAL CENTER, LLC
Provider Business Mailing Address
First Line : 2108 DALLAS PKWY STE 214
Second Line : BOX 585
City : PLANO
State : TX
Zip : 75093-4362
Country : US
Telephone Number : 214-694-3420
Fax Number :
Provider Business Practice Location Address
First Line : 6600 MCKINNEY RANCH PKWY APT 12204
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-8453
Country : US
Telephone Number : 214-694-6420
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MS. CHELSEA EDWARDS
Credential : MS, APRN, FNP-C
Telephone Number : 214-694-6420
Provider Enumeration Date : 04/17/2020
Last Update Date : 04/17/2020

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Directions to “CHELSEA MEDICAL CENTER, LLC ” Practice Location

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