Provider Demographics
NPI:1316196884
Name:LACOUR-CHESTNUT, FRENE' DE'SHAWN (MD)
Entity Type:Individual
Prefix:DR
First Name:FRENE'
Middle Name:DE'SHAWN
Last Name:LACOUR-CHESTNUT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1709 DRYDEN RD
Mailing Address - Street 2:SUITE 5.86B
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2400
Mailing Address - Country:US
Mailing Address - Phone:713-798-0104
Mailing Address - Fax:713-798-0198
Practice Address - Street 1:3550 SWINGLE RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77047-3763
Practice Address - Country:US
Practice Address - Phone:713-547-1320
Practice Address - Fax:713-547-1165
Is Sole Proprietor?:No
Enumeration Date:2008-09-09
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN0194208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L5937Medicare PIN