Provider Demographics
NPI:1871714790
Name:CHAVEZ, DIANA TAMEZ (RN, FNP-C)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:TAMEZ
Last Name:CHAVEZ
Suffix:
Gender:F
Credentials:RN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2120 FORDHAM AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-5714
Mailing Address - Country:US
Mailing Address - Phone:956-630-1361
Mailing Address - Fax:
Practice Address - Street 1:2108 S M ST STE 4
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1556
Practice Address - Country:US
Practice Address - Phone:956-686-8100
Practice Address - Fax:956-686-8999
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX625940363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily