| Doctor Name: | MR. MICHAEL JASON CHASTANT |
| NPI Number: | 1083944185 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ACNP-BC |
| License Number: | 713739 |
| Business Practice Address: | 403 State Highway 110 N Whitehouse, TX - 757913109 |
| Business Phone Number: | 9038391000 |
| Business Fax Number: | 9038394000 |
| Mailing Address: | 403 State Highway 110 N, WHITEHOUSE |
| State: | TX |
| Postal Code: | 757913109 |
| Phone Number: | 9038391000 |
| Fax Number: | 9038394000 |
| NPI Enumeration Date: | 01/12/2010 |
| NPI Last Update Date: | 09/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 713739 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |