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NPI Code Detail

MEDICARE: MR. HECTOR H CHAVEZ JR.

MEDICARE:  MR. HECTOR H CHAVEZ JR.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor85546TX

General Provider Information

NPI Number : 1639897804
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. HECTOR H CHAVEZ JR.
Provider Business Mailing Address
First Line : 14510 MONTANA AVE STE 101
Second Line :
City : EL PASO
State : TX
Zip : 79938-7203
Country : US
Telephone Number : 915-996-7505
Fax Number :
Provider Business Practice Location Address
First Line : 14510 MONTANA AVE STE 101
Second Line :
City : EL PASO
State : TX
Zip : 79938-7203
Country : US
Telephone Number : 915-996-7505
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2022
Last Update Date : 05/28/2026

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Directions to “ MR. HECTOR H CHAVEZ JR. ” Practice Location

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