Provider Demographics
NPI:1952442022
Name:SPURDON, CHANTAL HJ (MD)
Entity Type:Individual
Prefix:DR
First Name:CHANTAL
Middle Name:HJ
Last Name:SPURDON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1615 HOSPITAL PKWY
Mailing Address - Street 2:STE. 100
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76022-5934
Mailing Address - Country:US
Mailing Address - Phone:817-554-0830
Mailing Address - Fax:817-554-0831
Practice Address - Street 1:1615 HOSPITAL PKWY
Practice Address - Street 2:STE. 100
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-5934
Practice Address - Country:US
Practice Address - Phone:817-554-0830
Practice Address - Fax:817-554-0831
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH8847207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX116931004Medicaid
TX116931005Medicaid
TX116931005Medicaid
TX116931005Medicaid