Provider Demographics
NPI:1598985285
Name:CHAVARRIA, LAZARO (DDS)
Entity Type:Individual
Prefix:DR
First Name:LAZARO
Middle Name:
Last Name:CHAVARRIA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6655 HILLCROFT ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-4815
Mailing Address - Country:US
Mailing Address - Phone:713-272-9196
Mailing Address - Fax:713-272-9198
Practice Address - Street 1:6655 HILLCROFT ST
Practice Address - Street 2:SUITE 206
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-4815
Practice Address - Country:US
Practice Address - Phone:713-272-9196
Practice Address - Fax:713-272-9198
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX155561223G0001X, 1223P0106X, 1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1223G0001XDental ProvidersDentistGeneral Practice
Not Answered1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology
Not Answered1223P0221XDental ProvidersDentistPediatric Dentistry