Provider Demographics
NPI:1427545474
Name:CHAVEZ, BRENDA YESENIA (MD)
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:YESENIA
Last Name:CHAVEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1198
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79604-1198
Mailing Address - Country:US
Mailing Address - Phone:325-670-4220
Mailing Address - Fax:325-670-4040
Practice Address - Street 1:1665 ANTILLEY RD STE 200
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-5271
Practice Address - Country:US
Practice Address - Phone:325-793-5109
Practice Address - Fax:325-794-5106
Is Sole Proprietor?:No
Enumeration Date:2018-04-16
Last Update Date:2024-09-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXT2573207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine