1912291832 NPI number — MRS. PAOLA CHAVARRIA M.A., S.L.P.

Table of content: MRS. PAOLA CHAVARRIA M.A., S.L.P. (NPI 1912291832)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912291832 NPI number — MRS. PAOLA CHAVARRIA M.A., S.L.P.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHAVARRIA
Provider First Name:
PAOLA
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.A., S.L.P.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LEHMAN
Provider Other First Name:
PAOLA
Provider Other Middle Name:
CHAVARRIA
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.A., S.L.P.
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1912291832
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/08/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4718 HALLMARK DR
Provider Second Line Business Mailing Address:
ATTN: PINNACLE THERAPY
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77056-3909
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-622-2929
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4718 HALLMARK DR
Provider Second Line Business Practice Location Address:
ATTN: PINNACLE THERAPY
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77056-3909
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-622-2929
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/08/2011

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  106684 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00W860 . This is a "EMPLOYER MEDICARE UPIN" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1962453258 . This is a "EMPLOYER NPI" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".