Chavez-H., Pedro S.

Chavez-H., Pedro S. is an individual health care provider with primary practice located at 1517 N Mesa St , El Paso TX 79902-4018. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Chavez-H., Pedro S. can be contacted via phone (915) 533-0269.

Contact Information

Primary practice address
1517 N Mesa St El Paso TX 79902-4018
Fax: (915) 542-0413
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X E7030 Texas

Profile Details

NPI number 1336145374
LBN Legal business name Chavez-H., Pedro S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jul 16th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336145374 NPPES
Texas MEDICAID 0976557-01

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