Healthcare Provider Details

I. General information

NPI: 1437342169
Provider Name (Legal Business Name): EVA PATRICIA CHAVEZ MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2007
Last Update Date: 04/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1517 N MESA ST
EL PASO TX
79902-4018
US

IV. Provider business mailing address

1517 N MESA ST
EL PASO TX
79902-4018
US

V. Phone/Fax

Practice location:
  • Phone: 915-533-0269
  • Fax: 915-542-0413
Mailing address:
  • Phone: 915-533-0269
  • Fax: 915-542-0413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: E. PATRICIA CHAVEZ
Title or Position: OWNER
Credential:
Phone: 915-533-0269