Chelsea M Jividen
Medical Specialty
Professional ID
- NPI: 1770036428
- PECOS ID: 8426345836
- Enrollment ID: I20160929000364
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2016
Medical Practices
- Organization Name: University Of Texas At Dallas
- Group Practice ID assigned by PECOS: 7810971207
- Number of Group Practice member: 7
Location
- Address1: 1966 Inwood Rd
- Address2:
- City: Dallas
- State: Texas
- Zip Code: 75235
- Phone Number: (214)905-3000
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):