Provider Demographics
NPI:1821080862
Name:CHAVEZ, FRANCES LOUISE (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:LOUISE
Last Name:CHAVEZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3450 ZAFARANO DR
Mailing Address - Street 2:UNIT C
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507-2669
Mailing Address - Country:US
Mailing Address - Phone:575-289-3291
Mailing Address - Fax:575-289-3648
Practice Address - Street 1:9837 US HWY 550
Practice Address - Street 2:
Practice Address - City:CUBA
Practice Address - State:NM
Practice Address - Zip Code:87013-0638
Practice Address - Country:US
Practice Address - Phone:575-289-3291
Practice Address - Fax:575-289-3648
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2020-11-24
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Provider Licenses
StateLicense IDTaxonomies
NM2001-22207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM82779228Medicaid
NM82779228Medicaid
NM82779228Medicaid