Provider Demographics
NPI:1700340312
Name:CHAVEZ, GIOMAR ANABEL (NP)
Entity Type:Individual
Prefix:
First Name:GIOMAR
Middle Name:ANABEL
Last Name:CHAVEZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 N WARE RD
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-8055
Mailing Address - Country:US
Mailing Address - Phone:956-668-0044
Mailing Address - Fax:956-687-9747
Practice Address - Street 1:501 N WARE RD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-8055
Practice Address - Country:US
Practice Address - Phone:956-668-0044
Practice Address - Fax:956-687-9747
Is Sole Proprietor?:No
Enumeration Date:2019-01-28
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX686083363LF0000X
TXAP139509363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily