| Doctor Name: | AUBREY ELIZABETH CHESNER |
| NPI Number: | 1174901748 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | AUD |
| License Number: | 80761 |
| Business Practice Address: | 923 Pennsylvania Ave Ste 100 Fort Worth, TX - 761042254 |
| Business Phone Number: | 8179200484 |
| Business Fax Number: | 8179200068 |
| Mailing Address: | P.o. Box 961205, FORT WORTH |
| State: | TX |
| Postal Code: | 761611205 |
| Phone Number: | 8177408400 |
| Fax Number: | 8173783699 |
| NPI Enumeration Date: | 05/14/2015 |
| NPI Last Update Date: | 05/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | 80761 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |