person
Mr. John Bradley Chenault, NBC-HIS;ACA
Respiratory/Developmental/Rehabilitative Specialist/Technologist in Greenville, Texas
NPI 1225007107

John Bradley Chenault is a Respiratory/Developmental/Rehabilitative Specialist/Technologist based in Greenville, TX. John Bradley Chenault practices in Greenville, TX and has the professional credentials of NBC-HIS;ACA. The NPI Number for John Bradley Chenault is 1225007107 and holds a License No. 50067 (Texas).

The current practice location address for John Bradley Chenault is 2112 Stonewall St, Greenville, TX and can be reached out via phone at 903-455-5424 and via fax at 903-455-8922. You can also correspond with John Bradley Chenault through the mailing address at 2112 STONEWALL ST, GREENVILLE, TX - 75401-3344 (mailing address contact number: 903-455-5424).

Location: 2112 Stonewall St, Greenville, TX, 75401-3344
person
Provider Profile Details
NPI Number
1225007107
Provider Name
John Bradley Chenault
Credential
NBC-HIS;ACA
Provider Entity Type
Individual
Gender
Male
Address
2112 Stonewall St, Greenville, TX, 75401-3344
Phone Number
903-455-5424
Fax Number
903-455-8922
Provider Enumeration Date
03/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
022438801 05 TX
1871668970 05 TX
528263 01 TX BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2112 Stonewall St
City
State
Zip
75401-3344
Phone Number
903-455-5424
Fax Number
903-455-8922
person
Provider Business Mailing Address Details
Address
2112 Stonewall St
City
State
Zip
75401-3344
Phone Number
903-455-5424
Fax Number
903-455-8922
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Specialist/Technologist
Speciality
-
Taxonomy
License No.
50067 (Texas)
Definition
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.
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