Provider Demographics
NPI:1750844023
Name:CAVAZOS, CHELSY (FNP-BC)
Entity Type:Individual
Prefix:
First Name:CHELSY
Middle Name:
Last Name:CAVAZOS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1417 N WARE RD STE 300
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-8587
Mailing Address - Country:US
Mailing Address - Phone:956-585-4704
Mailing Address - Fax:956-585-6775
Practice Address - Street 1:1417 N WARE RD STE 300
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-8587
Practice Address - Country:US
Practice Address - Phone:956-585-4704
Practice Address - Fax:956-585-6775
Is Sole Proprietor?:No
Enumeration Date:2019-04-12
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP141305363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care