Provider Demographics
NPI:1437659067
Name:CHAVARRIA, MARIA RAMONA
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:RAMONA
Last Name:CHAVARRIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2731 RIDGEWAY DR
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76306-5005
Mailing Address - Country:US
Mailing Address - Phone:940-613-3880
Mailing Address - Fax:
Practice Address - Street 1:1505 NEW HAVEN RD
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76306-5252
Practice Address - Country:US
Practice Address - Phone:940-613-3880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-20
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant