Provider Demographics
NPI:1275098451
Name:CHAVEZ, MELIZA B (FNP)
Entity Type:Individual
Prefix:
First Name:MELIZA
Middle Name:B
Last Name:CHAVEZ
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14207 ARBORCREST ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77062-2025
Mailing Address - Country:US
Mailing Address - Phone:772-924-6464
Mailing Address - Fax:409-299-3440
Practice Address - Street 1:14207 ARBORCREST ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77062-2025
Practice Address - Country:US
Practice Address - Phone:772-924-6464
Practice Address - Fax:409-299-3440
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-01
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF09180351363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner