Individual
CARLOS CHAVEZ HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21727 W INTERSTATE 10 STE 108, SAN ANTONIO, TX 78257-2108
(210) 455-1091
Mailing address
9222 GILLCROSS WAY, SAN ANTONIO, TX 78250-2727
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-112968
TX
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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