| David Teran Chavez, PA | |
|
2900 Denton Hwy Ste A, Haltom City, TX 76117-3763 | |
| (817) 831-2012 | |
| (817) 831-0134 |
| Full Name | David Teran Chavez |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2900 Denton Hwy Ste A, Haltom City, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295081479 | NPI | - | NPPES |
| 308878301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 031853 (New York) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (Texas) | Secondary |
| 363A00000X | Physician Assistant | PA07817 (Texas) | Primary |
| Entity Name | Questcare Medical Services PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912059247 PECOS PAC ID: 6204739402 Enrollment ID: O20040127000697 |
| Entity Name | Acs Primary Care Physicians Southwest PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538101019 PECOS PAC ID: 1850204363 Enrollment ID: O20041206000027 |
| Entity Name | Concord Medical Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Concord Medical Group of Texas PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Mailing Address | Practice Location Address |
|---|---|
| David Teran Chavez, PA 5908 Rocky Point Dr, Arlington, TX 76018-2262 Ph: (817) 291-9302 | David Teran Chavez, PA 2900 Denton Hwy Ste A, Haltom City, TX 76117-3763 Ph: (817) 831-2012 |
Mrs. Kimberly Williamson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6340 N Beach St, Haltom City, TX 76137 Phone: 817-514-8668 |
Daniel John Mcintyre, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6340 N Beach St, Haltom City, TX 76137 Phone: 817-514-8668 |
Michael Anda Njotu, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4010 E Belknap St, Haltom City, TX 76111 Phone: 817-831-4300 Fax: 817-831-4306 |