Healthcare Provider Details

I. General information

NPI: 1104003607
Provider Name (Legal Business Name): JUAN MARCOS CHAVEZ PAZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2008
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5300 N G ST STE 110
MCALLEN TX
78504-6550
US

IV. Provider business mailing address

1112 E GRIFFIN PKWY STE D
MISSION TX
78572-2408
US

V. Phone/Fax

Practice location:
  • Phone: 956-540-9766
  • Fax:
Mailing address:
  • Phone: 956-450-3093
  • Fax: 956-631-9822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberN8629
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number125048900
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberN8629
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: