Individual
JOSE MANUEL CHAVARRIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SURGICAL ASSISTANT
Contact information
Practice address
4401 GARTH RD, BAYTOWN, TX 77521-2122
(281) 420-8600
Mailing address
613 NORTHBEND DR, BAYTOWN, TX 77521-4424
(936) 235-9104
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
17-438
WI
363AS0400X
Surgical Physician Assistant
Primary
SA00906
TX
Other
Enumeration date
07/19/2019
Last updated
02/13/2023
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