Provider Demographics
NPI:1942919592
Name:CHAVEZ, STEVEN RENE (FNP)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:RENE
Last Name:CHAVEZ
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8907 VICTORIA LK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78224-4200
Mailing Address - Country:US
Mailing Address - Phone:210-663-1385
Mailing Address - Fax:
Practice Address - Street 1:8907 VICTORIA LK
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78224-4200
Practice Address - Country:US
Practice Address - Phone:210-663-1385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-22
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1094906363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily