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Individual

JOSE CARLOS CHAVEZ- MADRID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC, MAT, LAT

Contact information

Practice address
1907 SANTA ROSA ST, HOUSTON, TX 77023-2532
(713) 894-1442
Mailing address
1907 SANTA ROSA ST, HOUSTON, TX 77023-2532
(346) 770-4180

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/03/2016
Last updated
06/05/2017
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