Provider Demographics
NPI:1457005456
Name:CHAVARRI, REYNA ALEJANDRA (MPAS, PA-C)
Entity Type:Individual
Prefix:
First Name:REYNA
Middle Name:ALEJANDRA
Last Name:CHAVARRI
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Gender:F
Credentials:MPAS, PA-C
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1512 E GRIFFIN PKWY STE 2
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-2422
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5223 S MCCOLL RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-7861
Practice Address - Country:US
Practice Address - Phone:956-627-0803
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-08
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA15550363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant