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NPI Code Detail

MEDICARE: CHAUBURG PLLC

MEDICARE: CHAUBURG PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1053780536
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHAUBURG PLLC
Provider Business Mailing Address
First Line : 1218 FRANKLIN WREN WAY
Second Line :
City : EL PASO
State : TX
Zip : 79912-7702
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3051 N ZARAGOZA RD
Second Line :
City : EL PASO
State : TX
Zip : 79938-7921
Country : US
Telephone Number : 915-401-8019
Fax Number : 901-401-8096
Authorized Official
Title or Position : OWNER
Name : MARCELO CHAUVET
Credential : MD
Telephone Number : 915-401-8019
Provider Enumeration Date : 09/15/2015
Last Update Date : 03/06/2017

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Directions to “CHAUBURG PLLC ” Practice Location

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