Individual
CHARLE CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2802 WINDSOR LN, PASADENA, TX 77506-3959
(183) 254-9849
Mailing address
2802 WINDSOR LN, PASADENA, TX 77506-3959
(183) 254-9849
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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