Provider Demographics
NPI:1215985718
Name:CHAVEZ, VALERIE MAXINE (MD)
Entity type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:MAXINE
Last Name:CHAVEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16238 RR 620 N # 300
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78717-5212
Mailing Address - Country:US
Mailing Address - Phone:512-540-5508
Mailing Address - Fax:512-351-9840
Practice Address - Street 1:3901A SPICEWOOD SPRINGS RD
Practice Address - Street 2:SUITE 201
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-8723
Practice Address - Country:US
Practice Address - Phone:737-226-6700
Practice Address - Fax:737-226-6777
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3497207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXI71308Medicare UPIN