MEDICARE: DR. AMANDA VICTORIA CHAVARRIA DO

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	207V00000X	Obstetrics & Gynecology Physician	V7842	TX

General Provider Information

NPI Number	:	1902484785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMANDA VICTORIA CHAVARRIA DO

Provider Business Mailing Address
First Line	:	1700 N OREGON ST STE 570
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-3587
Country	:	US
Telephone Number	:	915-283-3965
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 N OREGON ST STE 570
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-3587
Country	:	US
Telephone Number	:	915-283-3965
Fax Number	:

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

Provider Enumeration Date	:	04/01/2021
Last Update Date	:	07/29/2025

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