Provider Demographics
NPI:1285748855
Name:CHEVALIER, DEBRA KAY (CRNA)
Entity type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:KAY
Last Name:CHEVALIER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MS
Other - First Name:DEBORAH
Other - Middle Name:KAY
Other - Last Name:CHEVALIER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CRNA
Mailing Address - Street 1:3115 COLLEGE PARK DR 107
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77384-4001
Mailing Address - Country:US
Mailing Address - Phone:936-494-3006
Mailing Address - Fax:936-494-3003
Practice Address - Street 1:168 APRIL WATERS DR N
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77356-5886
Practice Address - Country:US
Practice Address - Phone:281-744-4435
Practice Address - Fax:936-494-3635
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX448319367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX120014901Medicaid
TX82005HMedicare ID - Type UnspecifiedPROVIDER #