Provider Demographics
NPI:1134458870
Name:CHAVEZ, ORLANDO (RPH)
Entity Type:Individual
Prefix:MR
First Name:ORLANDO
Middle Name:
Last Name:CHAVEZ
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3914 FOX MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-2810
Mailing Address - Country:US
Mailing Address - Phone:713-202-0286
Mailing Address - Fax:
Practice Address - Street 1:2130 RICHEY ST
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77502-3334
Practice Address - Country:US
Practice Address - Phone:713-475-8488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-08
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36926183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist