Provider Demographics
NPI:1336892173
Name:CHAVEZ, JAIME ALVAREZ (DC)
Entity Type:Individual
Prefix:DR
First Name:JAIME
Middle Name:ALVAREZ
Last Name:CHAVEZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:JAIME
Other - Middle Name:ALVAREZ
Other - Last Name:CHAVEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:5309 LOW TIDE DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-6470
Mailing Address - Country:US
Mailing Address - Phone:972-890-5543
Mailing Address - Fax:
Practice Address - Street 1:208 BILLINGS ST STE 190
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-5402
Practice Address - Country:US
Practice Address - Phone:817-900-3155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-01
Last Update Date:2022-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14946111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor