Provider Demographics
NPI:1245902709
Name:CHESSON, CINCHONIA TIERRA (CMA)
Entity type:Individual
Prefix:
First Name:CINCHONIA
Middle Name:TIERRA
Last Name:CHESSON
Suffix:
Gender:F
Credentials:CMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9337 KATY FWY STE B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1546
Mailing Address - Country:US
Mailing Address - Phone:346-379-4198
Mailing Address - Fax:
Practice Address - Street 1:9337 KATY FWY
Practice Address - Street 2:STE B #5098
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1546
Practice Address - Country:US
Practice Address - Phone:346-379-4198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-04
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2015022210246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Multi-Specialty