Provider Demographics
NPI:1760763551
Name:MCKELVEY-CHEVALIER, IRIS YVONNE
Entity Type:Individual
Prefix:MRS
First Name:IRIS
Middle Name:YVONNE
Last Name:MCKELVEY-CHEVALIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4633 PARDEE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77026-2835
Mailing Address - Country:US
Mailing Address - Phone:713-674-6235
Mailing Address - Fax:713-674-6235
Practice Address - Street 1:4633 PARDEE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77026-2835
Practice Address - Country:US
Practice Address - Phone:713-674-6235
Practice Address - Fax:713-674-6235
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-07
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX171WH0202X171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications