Teran Chavez, David
Teran Chavez, David is an sole proprietor health care provider with primary practice located at 2900 Denton Hwy Ste A , Haltom City TX 76117-3763. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Teran Chavez, David can be contacted via phone (817) 831-2012.Contact Information
Primary practice address
2900 Denton Hwy Ste A
Haltom City TX 76117-3763
Phone: (817) 831-2012
Fax: (817) 831-0134
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | Texas | |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA07817 | Texas |
Profile Details
| NPI number | 1295081479 |
|---|---|
| LBN Legal business name | Teran Chavez, David |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2012 |
| Last updated | Apr 8th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295081479 | NPPES |
| Texas | MEDICAID | 308878301 |
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