Individual
YESSICA SALAS-CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12250 S KIRKWOOD RD APT 734, STAFFORD, TX 77477-2121
(281) 837-9709
Mailing address
12250 S KIRKWOOD RD APT 734, STAFFORD, TX 77477-2121
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
21-240
TX
363AS0400X
Surgical Physician Assistant
SA00902
TX
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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