Basic Information
| Provider Information | |||||||||
| NPI: | 1689985780 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CHOUGH | ||||||||
| FirstName: | NATACHA | ||||||||
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| Credential: | MD, MPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 301 UNIVERSITY BLVD | ||||||||
| Address2: | ROUTE #1110 | ||||||||
| City: | GALVESTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 775551110 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4097476131 | ||||||||
| FaxNumber: | 4097476129 | ||||||||
| Practice Location | |||||||||
| Address1: | 301 UNIVERSITY BLVD | ||||||||
| Address2: | ROUTE #1110 | ||||||||
| City: | GALVESTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 775551110 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4097476131 | ||||||||
| FaxNumber: | 4097476129 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/24/2010 | ||||||||
| LastUpdateDate: | 04/19/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/19/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | A117775 | CA | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | P6357 | TX | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 2083A0100X | P6357 | TX | Y | Allopathic & Osteopathic Physicians | Preventive Medicine | Aerospace Medicine |
No ID Information.