Provider Demographics
NPI:1679030365
Name:POMPEYO C. CHAVEZ, M.D., PLLC
Entity Type:Organization
Organization Name:POMPEYO C. CHAVEZ, M.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:POMPEYO
Authorized Official - Middle Name:C
Authorized Official - Last Name:CHAVEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-304-0300
Mailing Address - Street 1:3101 HWY 71E
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BASTROP
Mailing Address - State:TX
Mailing Address - Zip Code:78602
Mailing Address - Country:US
Mailing Address - Phone:512-304-0300
Mailing Address - Fax:512-304-0341
Practice Address - Street 1:3101 HWY 71E
Practice Address - Street 2:SUITE 100
Practice Address - City:BASTROP
Practice Address - State:TX
Practice Address - Zip Code:78602
Practice Address - Country:US
Practice Address - Phone:512-304-0300
Practice Address - Fax:512-304-0341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-28
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty