Provider Demographics
NPI:1366521288
Name:CHAVEZ, ROXANNE YOUNG (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ROXANNE
Middle Name:YOUNG
Last Name:CHAVEZ
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MRS
Other - First Name:ROXANNE
Other - Middle Name:YOUNG
Other - Last Name:CHAVEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-C
Mailing Address - Street 1:5015 UNIVERSITY AVE
Mailing Address - Street 2:UNIT B-1
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79413-4426
Mailing Address - Country:US
Mailing Address - Phone:806-797-4357
Mailing Address - Fax:806-797-0124
Practice Address - Street 1:5015 UNIVERSITY AVE
Practice Address - Street 2:UNIT B-1
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79413-4426
Practice Address - Country:US
Practice Address - Phone:806-797-4357
Practice Address - Fax:806-797-0124
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX541248363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX541248OtherLICENSE NUMBER
TX541248OtherLICENSE NUMBER
TX541248OtherLICENSE NUMBER