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Juan Jose Ivan Chavez JR.
Student in an Organized Health Care Education/Training Program in Live Oak, Texas
NPI 1447995733

Juan Jose Ivan Chavez JR. is a Student in an Organized Health Care Education/Training Program based in College Station, TX. Juan Jose Ivan Chavez JR. practices in Live Oak, TX. The NPI Number for Juan Jose Ivan Chavez JR. is 1447995733 and holds a License No. (Texas).

The current practice location address for Juan Jose Ivan Chavez JR. is 12412 Judson Rd, Live Oak, TX and can be reached out via phone at 210-757-7000.

Location: 12412 Judson Rd, Live Oak, TX, 77840-4964
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447995733
Provider Name
Juan Jose Ivan Chavez JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
12412 Judson Rd, Live Oak, TX, 77840-4964
Phone Number
210-757-7000
Fax Number
Provider Enumeration Date
05/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12412 Judson Rd
City
Live Oak
State
Texas
Zip
78233-3255
Phone Number
210-757-7000
Fax Number
person
Provider Business Mailing Address Details
Address
12412 Judson Rd
City
Live Oak
State
Texas
Zip
78233-3255
Phone Number
210-757-7000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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