Individual
STEVE CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3520 WHEELER ST APT 1452, DALLAS, TX 75209-6450
(469) 316-0858
(888) 773-1536
Mailing address
3520 WHEELER ST APT 1452, DALLAS, TX 75209-6450
(469) 316-0858
(888) 773-1536
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
11111111
TX
Other
Enumeration date
08/05/2021
Last updated
09/06/2022
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