Provider Demographics
NPI:1740282557
Name:CHESS MEDICAL GROUP, LLP
Entity type:Organization
Organization Name:CHESS MEDICAL GROUP, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:P
Authorized Official - Last Name:CAMERO
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:956-794-8804
Mailing Address - Street 1:1710 E SAUNDERS ST
Mailing Address - Street 2:STE B370
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-5443
Mailing Address - Country:US
Mailing Address - Phone:956-794-8804
Mailing Address - Fax:
Practice Address - Street 1:1710 E SAUNDERS ST
Practice Address - Street 2:STE B370
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-5443
Practice Address - Country:US
Practice Address - Phone:956-794-8804
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1427207T00000X
TXG98412084N0400X
TXK34492084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Not Answered2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG35053Medicare UPIN
TXG47331Medicare UPIN
TX8B9770Medicare ID - Type Unspecified
TX8B9769Medicare ID - Type Unspecified
TX00857WMedicare ID - Type Unspecified
TXC14104Medicare UPIN
TX8B9771Medicare ID - Type Unspecified