Provider Demographics
NPI:1992393094
Name:CHAIRES, HECTOR ALBERTO
Entity Type:Individual
Prefix:
First Name:HECTOR
Middle Name:ALBERTO
Last Name:CHAIRES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6401 MAPLE AVE APT 4109
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-5537
Mailing Address - Country:US
Mailing Address - Phone:915-201-9112
Mailing Address - Fax:
Practice Address - Street 1:6401 MAPLE AVE APT 4109
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-5537
Practice Address - Country:US
Practice Address - Phone:915-201-9112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-05
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program