Provider Demographics
NPI:1689985780
Name:CHOUGH, NATACHA (MD, MPH)
Entity Type:Individual
Prefix:
First Name:NATACHA
Middle Name:
Last Name:CHOUGH
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 650859
Mailing Address - Street 2:DEPT 710
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75265-1110
Mailing Address - Country:US
Mailing Address - Phone:409-747-6240
Mailing Address - Fax:409-747-6129
Practice Address - Street 1:301 UNIVERSITY BLVD
Practice Address - Street 2:ROUTE #1110
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555-1110
Practice Address - Country:US
Practice Address - Phone:409-747-6131
Practice Address - Fax:409-747-6129
Is Sole Proprietor?:No
Enumeration Date:2010-06-24
Last Update Date:2022-12-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA117775207P00000X
TXP6357207P00000X, 2083A0100X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine