Provider Demographics
NPI:1699657262
Name:VESELKA, CHELSEA LYNN
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:LYNN
Last Name:VESELKA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15022 MONTEZUMA QUAIL DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-7866
Mailing Address - Country:US
Mailing Address - Phone:281-731-7856
Mailing Address - Fax:
Practice Address - Street 1:15022 MONTEZUMA QUAIL DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-7866
Practice Address - Country:US
Practice Address - Phone:281-731-7856
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1207421363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics