MEDICARE: CASSIDY CHRISTINE CHAVEZ NP

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
1	363LF0000X	Family Nurse Practitioner	AP134534	TX

General Provider Information

NPI Number	:	1518480904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASSIDY CHRISTINE CHAVEZ NP

Provider Business Mailing Address
First Line	:	905 GRAYSON AVE
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-6582
Country	:	US
Telephone Number	:	956-624-6703
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 W. NOLANA LOOP
Second Line	:	STE 5A
City	:	PHARR
State	:	TX
Zip	:	78577
Country	:	US
Telephone Number	:	956-601-0275
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2017
Last Update Date	:	03/05/2026

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