Individual
IRENE CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 AVILA DR, LAREDO, TX 78046-8409
(956) 324-4462
Mailing address
310 AVILA DR, LAREDO, TX 78046-8409
(956) 324-4462
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2015483
TX
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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