NPI 1750143616

Herman Eugene Chavez

Practitioner Private Vehicle Newcomb, NM

Practice location

Address: 7450 Skyhawk LP, Newcomb, NM 87455
Phone: (505) 463-8207
Mailing address: 2495 Parklane Dr, Bosque Farms, NM 87068-9397

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence 506289451 (NM)

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Registry record

NPI: 1750143616
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jan 2024
Record last updated: 26 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.