Provider Demographics
NPI:1427334002
Name:CHENAULT, BETTE (WHNP)
Entity type:Individual
Prefix:MS
First Name:BETTE
Middle Name:
Last Name:CHENAULT
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 GULF FWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77023-3548
Mailing Address - Country:US
Mailing Address - Phone:713-235-1053
Mailing Address - Fax:713-535-2427
Practice Address - Street 1:4600 GULF FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77023-3548
Practice Address - Country:US
Practice Address - Phone:713-235-1053
Practice Address - Fax:713-535-2427
Is Sole Proprietor?:No
Enumeration Date:2011-10-27
Last Update Date:2014-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX431658364SW0102X
TXAP107149364SW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SW0102XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2871527-02Medicaid