Individual
ANGELICA CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
333 N SANTA ROSA, SAN ANTONIO, TX 78207-3108
(210) 704-3030
Mailing address
315 N SAN SABA STE 1135, SAN ANTONIO, TX 78207-3255
(210) 704-3030
(806) 468-4398
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
L1818
TX
2080P0203X
Pediatric Critical Care Medicine Physician
L1818
TX
208M00000X
Hospitalist Physician
Primary
L1818
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173156401
—
TX
01
—
173156402
MEDICAID - CSHCN
TX
01
—
200069570A
OKLAHOMA MEDICAID
OK
01
—
81852517
NEW MEXICO MEDICAID
NM
Enumeration date
07/31/2006
Last updated
08/14/2023
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