Provider Demographics
NPI:1699897488
Name:CHRANE, SELINA KAY (PA)
Entity type:Individual
Prefix:
First Name:SELINA
Middle Name:KAY
Last Name:CHRANE
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 E 7TH ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-3319
Mailing Address - Country:US
Mailing Address - Phone:512-978-9920
Mailing Address - Fax:512-901-9762
Practice Address - Street 1:500 E 7TH ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701-3319
Practice Address - Country:US
Practice Address - Phone:512-978-9920
Practice Address - Fax:512-901-9762
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA03262363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical