Healthcare Provider Details

I. General information

NPI: 1972008498
Provider Name (Legal Business Name): PAMELA NAHOMI CHAVERO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2018
Last Update Date: 01/19/2024
Certification Date: 01/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5501 S MCCOLL RD
EDINBURG TX
78539-9152
US

IV. Provider business mailing address

PO BOX 3449
MCALLEN TX
78502-3449
US

V. Phone/Fax

Practice location:
  • Phone: 956-661-0529
  • Fax: 956-618-4639
Mailing address:
  • Phone: 956-661-0529
  • Fax: 956-618-4639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberU7180
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: