Chambellan, Kendall Yazzie Redhorse

Chambellan, Kendall Yazzie Redhorse is an individual health care provider with primary practice located at 811 S Washington Ave , Marshall TX 75670. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Chambellan, Kendall Yazzie Redhorse can be contacted via phone (903) 315-1488.

Contact Information

Primary practice address
811 S Washington Ave Marshall TX 75670
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 01658 Texas

Profile Details

NPI number 1861498768
LBN Legal business name Chambellan, Kendall Yazzie Redhorse
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Mar 26th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861498768 NPPES
Texas Other 794785 MEDICARE
Texas Other P02237142 MEDICARE
Texas MEDICAID 192935811 MEDICARE

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