Provider Demographics
NPI:1316143985
Name:NAVEJAR, CHRISSY ALVINA (DO)
Entity type:Individual
Prefix:DR
First Name:CHRISSY
Middle Name:ALVINA
Last Name:NAVEJAR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:CHRISSY
Other - Middle Name:ALVINA
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:25802 SCENIC ROCK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78255-2373
Mailing Address - Country:US
Mailing Address - Phone:210-317-7209
Mailing Address - Fax:
Practice Address - Street 1:23535 W IH 10 STE 2205
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78257
Practice Address - Country:US
Practice Address - Phone:210-317-7209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-21
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP4988207R00000X
VA0102202112207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3381840-01OtherWELLMED MEDICAID
TX324866YLPSOtherWELLMED MEDICARE