Provider Demographics
NPI:1487888517
Name:CHAVEZ, ANNA IRENE
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:IRENE
Last Name:CHAVEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9158 JENNY CIR
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78552-2143
Mailing Address - Country:US
Mailing Address - Phone:956-793-5660
Mailing Address - Fax:
Practice Address - Street 1:160 W EXPRESSWAY 83
Practice Address - Street 2:SUITE F
Practice Address - City:SAN BENITO
Practice Address - State:TX
Practice Address - Zip Code:78586-3835
Practice Address - Country:US
Practice Address - Phone:956-361-5800
Practice Address - Fax:956-361-9456
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-04
Last Update Date:2009-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX343692355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant