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Search › Texas › 225200000X

Chautauqua Young, LPTA

NPI 1366719155 · on the registry since 2011

Practice

Address
5601 Bridge St Ste 490
Ft Worth, TX 76112
Phone
(817) 446-5000
Organisation at this address
Ciondria Jones
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-11-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas