Individual
SAMUEL J CHAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7304 GOOD SAMARITAN CT, EL PASO, TX 79912-1602
(575) 993-9926
Mailing address
7304 GOOD SAMARITAN CT, EL PASO, TX 79912-1602
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211260
TX
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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