MEDICARE: EMILY GABRIELLE CHAVIS AU.D.

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	231H00000X	Audiologist	81514	TX

General Provider Information

NPI Number	:	1801671755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY GABRIELLE CHAVIS AU.D.

Provider Business Mailing Address
First Line	:	10740 N GESSNER RD STE 310
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77064-1240
Country	:	US
Telephone Number	:	281-897-0416
Fax Number	:	786-907-4485

Provider Business Practice Location Address
First Line	:	7900 FANNIN ST STE 1800
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2952
Country	:	US
Telephone Number	:	713-791-9363
Fax Number	:	866-950-0118

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

Provider Enumeration Date	:	08/29/2023
Last Update Date	:	10/06/2023

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