Individual
YADIRA ELIZABETH CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
712 TEXAS AVE, GALVESTON, TX 77555-0001
(409) 772-1011
Mailing address
PO BOX 65089, DALLAS, TX 75265
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
BP10089965
TX
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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