person
Ms. Chasareth Edwonne Thompson, PA-C
Medical Physician Assistant in Navasota, Texas
NPI 1578907630

Chasareth Edwonne Thompson is a Medical Physician Assistant based in College Station, TX and is specialized in Medical. Chasareth Edwonne Thompson practices in Navasota, TX and has the professional credentials of PA-C. The NPI Number for Chasareth Edwonne Thompson is 1578907630 and holds a License No. PA08203 (Texas).

The current practice location address for Chasareth Edwonne Thompson is 1905 Dove Crossing Ln, Navasota, TX and can be reached out via phone at 936-825-0000 and via fax at 979-825-8001.

Location: 1905 Dove Crossing Ln, Navasota, TX, 77840-2600
person
Provider Profile Details
NPI Number
1578907630
Provider Name
Chasareth Edwonne Thompson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1905 Dove Crossing Ln, Navasota, TX, 77840-2600
Phone Number
936-825-0000
Fax Number
979-825-8001
Provider Enumeration Date
04/19/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
45-1981 01 TX MEDICARE/GRIMES COUNTY CHC
74-1715140 01 TX BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC.
1821185299 01 TX BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC.
0009516-07 01 TX MEDICAID/GRIMES COUNTY CHC
1700973187 01 TX NPI/GRIMES COUNTY CHC
institution
Provider Business Practice Location Address Details
Address
1905 Dove Crossing Ln
City
State
Zip
77868-5272
Phone Number
936-825-0000
Fax Number
979-825-8001
person
Provider Business Mailing Address Details
Address
1905 Dove Crossing Ln
City
State
Zip
77868-5272
Phone Number
936-825-0000
Fax Number
979-825-8001
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA08203 (Texas)
Definition
Definition to come...
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