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Physician Compare National (NPI:1851561740)

HEALTHCARE PROVIDER: MICHAEL ADRIAN CHAVEZ O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1851561740
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 7416025200
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20081007000254
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name CHAVEZ
Individual professional last name
Provider First Name MICHAEL
Individual professional first name
Provider Middle Name A
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Individual professional's medical school
Graduation Year 2006
Individual professional's medical school graduation year
Primary Specialty OPTOMETRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 1144 AIRPORT BLVD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 235
Group Practice or individual's line 2 address
City AUSTIN
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 787023163
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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