Provider Demographics
NPI:1669660643
Name:CHAVEZ, HILDA LUZ (ND LMT)
Entity Type:Individual
Prefix:DR
First Name:HILDA
Middle Name:LUZ
Last Name:CHAVEZ
Suffix:
Gender:F
Credentials:ND LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 632
Mailing Address - Street 2:
Mailing Address - City:CANUTILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79835-0632
Mailing Address - Country:US
Mailing Address - Phone:915-204-5440
Mailing Address - Fax:
Practice Address - Street 1:9515 GATEWAY BLVD W
Practice Address - Street 2:SUITE N
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-7548
Practice Address - Country:US
Practice Address - Phone:915-877-4400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-04
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT 1347171W00000X
TX1347171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor