Individual
LUIS ANTONIO CHAVARRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1331 GAUCHO RD, SAN ELIZARIO, TX 79849-8904
(915) 383-4001
Mailing address
1331 GAUCHO RD, SAN ELIZARIO, TX 79849-8904
(915) 383-4001
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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