Healthcare Provider Details

I. General information

NPI: 1013174291
Provider Name (Legal Business Name): ALMA D CHAVEZ R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2008
Last Update Date: 01/09/2023
Certification Date: 01/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10121 EMMETT F LOWRY EXPY
TEXAS CITY TX
77591-2286
US

IV. Provider business mailing address

PO BOX 650859 DEPT 710
DALLAS TX
75265-1608
US

V. Phone/Fax

Practice location:
  • Phone: 409-938-8466
  • Fax:
Mailing address:
  • Phone: 409-747-6240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number665019
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP121894
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: