Individual
DIANA CHAVIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1216 E 8TH ST, ODESSA, TX 79761-4638
(432) 888-9806
(432) 888-9777
Mailing address
5025 WINCHESTER AVE, ODESSA, TX 79762-4434
(432) 703-7798
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1056522
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1056522
RN LICENSE
TX
Enumeration date
01/04/2022
Last updated
01/04/2022
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