| Ricardo Chavez DDS PLLC | |
|
11365 Montwood Dr Ste. B El Paso TX 79936-3854 | |
| (915) 849-6380 | |
| (915) 849-6330 |
| Full Name | Ricardo Chavez DDS PLLC |
|---|---|
| Speciality | Dentist |
| Location | 11365 Montwood Dr, El Paso, Texas |
| Authorized Official Name and Position | Ricardo Chavez (PRESIDENT) |
| Authorized Official Contact | 9158496380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ricardo Chavez DDS PLLC 11365 Montwood Dr Ste. B El Paso TX 79936-3854 Ph: (915) 849-6380 | Ricardo Chavez DDS PLLC 11365 Montwood Dr Ste. B El Paso TX 79936-3854 Ph: (915) 849-6380 |
| NPI Number | 1942751789 |
|---|---|
| Provider Enumeration Date | 10/17/2016 |
| Last Update Date | 10/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942751789 | NPI | - | NPPES |
| 289222601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22630 (Texas) | Primary |
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