Provider Demographics
NPI:1114081189
Name:CHENAULT-SALISBURY, PATRICIA A (WHCNP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:A
Last Name:CHENAULT-SALISBURY
Suffix:
Gender:F
Credentials:WHCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 660599
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75266-0599
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:802 HOPKINS ST FL 2
Practice Address - Street 2:GARLAND WOMEN'S HEALTH CENTER
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-7379
Practice Address - Country:US
Practice Address - Phone:214-266-0780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251866363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX138279813Medicaid
TX138279819Medicaid
TX138279814Medicaid
TX138279812Medicaid
TX138279810Medicaid
TX138279811Medicaid
TX138279815Medicaid
TX138279816Medicaid
TX138279817Medicaid
TX138279818Medicaid