Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223G0001X | General Practice | 15556 | TX |
N | 213EG0000X | General Practice | 15556 | TX |
N | 1223P0106X | Oral and Maxillofacial Pathology | 15556 | TX |
N | 1223P0221X | Pediatric Dentist | 15556 | TX |
NPI | 1598985285 |
---|---|
Provider Name | Dr. Lazaro Chavarria |
First Address | Houston, TX 77081-4815 |
Second Address | Houston, TX 77081-4815 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2007 |
Last Update Date | 08/07/2007 |