Maxwell, Chabacana L

Maxwell, Chabacana L is an individual health care provider with primary practice located at 400 Rosalind Redfern Grover Pkwy , Midland TX 79701-5846. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Maxwell, Chabacana L can be contacted via phone (432) 681-3100.

Contact Information

Primary practice address
400 Rosalind Redfern Grover Pkwy Midland TX 79701-5846
Phone: (432) 681-3100
Fax: (432) 681-3108
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X 707366 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP121185 Texas

Profile Details

NPI number 1154767234
LBN Legal business name Maxwell, Chabacana L
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2013
Last updated May 21st, 2019 - about 5 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 1154767234 NPPES
Texas MEDICAID 369055401

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