1780868257 NPI number — BEN CHAVEZ, M.D.,P.A.

Table of content: (NPI 1780868257)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780868257 NPI number — BEN CHAVEZ, M.D.,P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BEN CHAVEZ, M.D.,P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1780868257
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/19/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5704 SW 50TH AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AMARILLO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79109-5710
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
806-350-7671
Provider Business Mailing Address Fax Number:
806-331-2403

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3501 S SONCY RD
Provider Second Line Business Practice Location Address:
SUITE 134
Provider Business Practice Location Address City Name:
AMARILLO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79119-6407
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
806-331-2400
Provider Business Practice Location Address Fax Number:
806-331-2403
Provider Enumeration Date:
12/19/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CHAVEZ
Authorized Official First Name:
BEN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
806-331-2400

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  J6089 , 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)