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Individual

MR. JOSE RAUL CHAVEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LSA

Contact information

Practice address
21448 KINGS GUILD LN, KINGWOOD, TX 77339-2678
(281) 928-2499
Mailing address
21448 KINGS GUILD LN, KINGWOOD, TX 77339-2678
(281) 928-2499

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
SA00779
TX
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
03/13/2015
Last updated
02/07/2024
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