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Chelsea M Jividen

  • Female

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):