Individual
TAMERLA DAWN CHAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
755 N 11TH STREET, SUITE P5500, BEAUMONT, TX 77702
(409) 924-8111
(409) 924-8234
Mailing address
755 N 11TH STREET, SUITE P5500, BEAUMONT, TX 77702
(409) 924-8111
(409) 924-8234
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
H4230
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030803301
—
TX
01
—
140066844
MEDICARE RR
—
Enumeration date
07/08/2005
Last updated
06/25/2010
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