Provider Demographics
NPI:1821292426
Name:CHAVEZ, POMPEYO CESAR (MD)
Entity Type:Individual
Prefix:DR
First Name:POMPEYO
Middle Name:CESAR
Last Name:CHAVEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 HWY 71 E
Mailing Address - Street 2:#101
Mailing Address - City:BASTROP
Mailing Address - State:TX
Mailing Address - Zip Code:78602-5159
Mailing Address - Country:US
Mailing Address - Phone:512-304-0300
Mailing Address - Fax:512-304-0341
Practice Address - Street 1:3101 HWY 71 EAST
Practice Address - Street 2:SUITE 101
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
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM7794207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
948332103OtherMYUTMB 948332103-COMMERCIAL NUMBER