Individual
JORGE CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1802 W 6TH ST STE B, AUSTIN, TX 78703-5372
(713) 703-9527
Mailing address
1802 W 6TH ST STE B, AUSTIN, TX 78703-5372
(713) 703-9527
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
38334
TX
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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