Individual
MR. JOHN B CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
301 40TH ST, LUBBOCK, TX 79404-2811
(806) 743-9355
(806) 743-9364
Mailing address
301 40TH ST., LUBBOCK, TX 79404-2811
(806) 743-9355
(806) 743-9364
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2006003605-22
TX
363L00000X
Nurse Practitioner
Primary
644845
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
644845
LICENSE
—
Enumeration date
02/26/2007
Last updated
03/04/2009
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