Provider Demographics
NPI:1619950938
Name:CRITCHFIELD, CHEECHEE (CST,OTC)
Entity Type:Individual
Prefix:
First Name:CHEECHEE
Middle Name:
Last Name:CRITCHFIELD
Suffix:
Gender:F
Credentials:CST,OTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7401 S. MAIN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4509
Mailing Address - Country:US
Mailing Address - Phone:713-794-3338
Mailing Address - Fax:713-794-3395
Practice Address - Street 1:520 BLOSSOM
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598
Practice Address - Country:US
Practice Address - Phone:281-332-9537
Practice Address - Fax:281-332-1560
Is Sole Proprietor?:No
Enumeration Date:2005-11-21
Last Update Date:2015-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83198246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist