Provider Demographics
NPI:1558810572
Name:HANCOCK, CHELSEA (PA-C)
Entity Type:Individual
Prefix:MS
First Name:CHELSEA
Middle Name:
Last Name:HANCOCK
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5773 LOIS LN
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-5844
Mailing Address - Country:US
Mailing Address - Phone:479-561-5630
Mailing Address - Fax:972-394-7656
Practice Address - Street 1:4325 N JOSEY LN
Practice Address - Street 2:#105
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-4635
Practice Address - Country:US
Practice Address - Phone:972-394-9478
Practice Address - Fax:972-394-7656
Is Sole Proprietor?:No
Enumeration Date:2016-10-03
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant