Provider Demographics
NPI:1205433596
Name:CHAUVIN, DAVID
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:CHAUVIN
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 1:3101 SHORELINE DR APT 1836
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78728-4480
Mailing Address - Country:US
Mailing Address - Phone:409-692-7309
Mailing Address - Fax:
Practice Address - Street 1:3101 SHORELINE DR APT 1836
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78728-4480
Practice Address - Country:US
Practice Address - Phone:409-692-7309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-08
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist