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NPI Code Detail

MEDICARE: DR. MARIANO D CHAVEZ JR.

MEDICARE: DR. MARIANO D CHAVEZ JR.
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
13336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1619567302
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIANO D CHAVEZ JR.
Provider Business Mailing Address
First Line : 3227 SE MILITARY DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78223-3876
Country : US
Telephone Number : 210-247-0083
Fax Number :
Provider Business Practice Location Address
First Line : 3227 SE MILITARY DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78223-3876
Country : US
Telephone Number : 210-247-0083
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2021
Last Update Date : 01/26/2021

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Directions to “ DR. MARIANO D CHAVEZ JR. ” Practice Location

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