Chavis, Tamerla Dawn
Chavis, Tamerla Dawn is an sole proprietor health care provider with primary practice located at 755 N 11Th Street Suite P5500, Beaumont TX 77702. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as her primary health care specialty. Chavis, Tamerla Dawn can be contacted via phone (409) 924-8111.Contact Information
Primary practice address
755 N 11Th Street Suite P5500
Beaumont TX 77702
Phone: (409) 924-8111
Fax: (409) 924-8234
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | H4230 | Texas |
Profile Details
| NPI number | 1104824671 |
|---|---|
| LBN Legal business name | Chavis, Tamerla Dawn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Jun 25th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104824671 | NPPES |
| Other | 140066844 | MEDICARE RR | |
| MEDICAID | 030803301 | MEDICARE RR |
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