Organization
TAMERLA D CHAVIS MD,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMERLA DAWN CHAVIS MD (PRESIDENT)
(409) 924-8111
Entity
Organization
Contact information
Practice address
755 N 11TH ST, SUITE P-5500, BEAUMONT, TX 77702-1500
(409) 924-8111
Mailing address
755 N 11TH ST, SUITE P-5500, BEAUMONT, TX 77702-1500
(409) 924-8111
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
Enumeration date
04/03/2012
Last updated
04/03/2012
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