Provider Demographics
NPI:1770807422
Name:CHEVALIER, MICAH (PA)
Entity type:Individual
Prefix:
First Name:MICAH
Middle Name:
Last Name:CHEVALIER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:PO BOX 603725
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-3725
Mailing Address - Country:US
Mailing Address - Phone:828-575-2625
Mailing Address - Fax:828-350-2174
Practice Address - Street 1:708 HILL COUNTRY DR STE 400
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-6071
Practice Address - Country:US
Practice Address - Phone:830-896-1433
Practice Address - Fax:830-896-1440
Is Sole Proprietor?:No
Enumeration Date:2010-03-24
Last Update Date:2025-07-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA06653363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant