MEDICARE: CHELSEY ELIZABETH STRAIGHT MD

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	207N00000X	Dermatology Physician	S6533	TX
2	207ND0101X	MOHS-Micrographic Surgery Physician	S6533	TX

General Provider Information

NPI Number	:	1699161174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEY ELIZABETH STRAIGHT MD

Provider Business Mailing Address
First Line	:	8701 W HIGHWAY 71 STE 101
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78735-8380
Country	:	US
Telephone Number	:	512-766-2610
Fax Number	:	512-662-6207

Provider Business Practice Location Address
First Line	:	8701 W HIGHWAY 71 STE 101
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78735-8380
Country	:	US
Telephone Number	:	512-766-2610
Fax Number	:	512-766-2620

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

Provider Enumeration Date	:	04/10/2015
Last Update Date	:	10/22/2025

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