Provider Demographics
NPI:1306118013
Name:CHARTAN, COREY
Entity type:Individual
Prefix:DR
First Name:COREY
Middle Name:
Last Name:CHARTAN
Suffix:
Gender:M
Credentials:
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Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE BAYLOR PLAZA, MAIL STOP W6-006
Mailing Address - Street 2:PEDIATRIC CRITICAL CARE
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070
Mailing Address - Country:US
Mailing Address - Phone:713-798-4780
Mailing Address - Fax:713-790-1345
Practice Address - Street 1:ONE BAYLOR PLAZA, MAIL STOP W6-006
Practice Address - Street 2:PEDIATRIC CRITICAL CARE
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070
Practice Address - Country:US
Practice Address - Phone:713-798-4780
Practice Address - Fax:713-790-1345
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-27
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP61512080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine