CRYSTAL HAYDEE CHAVEZ (NPI# 1275928483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275928483 |
| Entity Type | Individual |
| Full Name | CRYSTAL HAYDEE CHAVEZ |
| Other Name | CRYSTAL HAYDEE BENCOMO ZAVALA |
| Credential | M.D. |
| Practice Address |
25723 Old Fredericksburg Rd Boerne TX 78015-6605 |
| Practice Telephone | 2104506800 |
| Practice Fax Number | 2104506801 |
| Mailing Telephone | 2104506800 |
| Mailing Fax Number | 2104506801 |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2018-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 46542 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CSHCN | 389826402 | 01 |
| TX | 389826401 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568850873 | Crystal Chavez | Rehabilitation Practitioner | 801 E Chapman Ave, 203, Fullerton, CA 92831-3839 | 2015-01-08 |
| 1629418645 | Crystal Elosie Chavez | Counselor | 369 W Compton Blvd, Compton, CA 90220-3110 | 2013-07-05 |
| Street Address |
25723 OLD FREDERICKSBURG RD |
| City | BOERNE |
| State | TX |
| Zip Code | 78015-6605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790993210 | Ladelle Morse | Physical Medicine & Rehabilitation | 25723 Old Fredericksburg Rd, Boerne, TX 78015 | 2007-05-18 |
| 1609366921 | Teagan Nichole Charles | Physician Assistant | 25723 Old Fredericksburg Rd, Boerne, TX 78015 | 2018-05-11 |
| 1952758203 | Emily Jean Hood | Physical Therapist | 25723 Old Fredericksburg Rd, Boerne, TX 78015 | 2016-05-17 |
| 1235584400 | Andrew Dinh | Family Medicine | 25723 Old Fredericksburg Rd, Boerne, TX 78015-6605 | 2016-04-25 |
| 1982068755 | Jeff Howard Svec | Family Medicine | 25723 Old Fredericksburg Rd, Boerne, TX 78015-6605 | 2016-04-07 |
| 1457790131 | Tyler Barreto | Family Medicine | 25723 Old Fredericksburg Rd, Boerne, TX 78015-6605 | 2013-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356845242 | Samantha Royalty | Student in an Organized Health Care Education/Training Program | 31925 Deer Smt, Fair Oaks Ranch, TX 78015 | 2018-03-23 |
| 1124455985 | Charles Kennedy Jr. | Specialist | 8454 Northview Pass, Fair Oak Ranch, TX 78015 | 2013-10-10 |
| 1831448448 | Pamela Kelly Brennan | Registered Nurse | 208 Cibolo Ridge Trail, Boerne, TX 78015 | 2012-08-29 |
| 1508112558 | Tammy Marek Pllc | Counselor | 31525 Post Oak Trl, Fair Oaks Ranch, TX 78015 | 2012-07-27 |
| 1295001360 | Shanna Marie Miller | Speech-Language Pathologist | 8614 Carmel Rose, Boerne, TX 78015 | 2012-03-22 |
| 1184991184 | San Antonio Dental Center | Dentist | 8610 Napa Lndg, Boerne, TX 78015 | 2011-11-19 |
| 1386941227 | Priscilla Diane Diazdeleon | Speech-Language Pathologist | 8701 Cavalry, Fair Oaks Ranch, TX 78015 | 2011-02-11 |
| 1649586678 | Erica Janae Lunsford | Physician Assistant | 29602 Midnight Sun, Fair Oaks Ranch, TX 78015 | 2010-08-27 |
| 1053555953 | Ramon Cancino | Family Medicine | 25723 Old Fredericksburg, Boerne, TX 78015 | 2009-04-23 |
| 1194901744 | Fair Oaks Dental, Pa | Dentist | 9091 Fair Oaks Pkwy, Suite 304, Fair Oaks Ranch, TX 78015 | 2008-01-14 |
| Find all providers in zip 78015 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218517 | Boerne Mens Clinic | Family Medicine | 138 Tx-46, Boerne, TX 78006 | 2020-09-01 |
| 1558653790 | Jennifer Riedel Brockington | Family Medicine | 117 W Highland Dr, Suite 201, Boerne, TX 78006-2651 | 2011-05-06 |
| 1821390204 | Charles Woodrow Mccurley Iv | Family Medicine | 136 Old San Antonio Rd, Ste 406, Boerne, TX 78006-3413 | 2010-11-17 |
| 1811225071 | Sylvia Proctor Adams | Family Medicine | 134 Cascade Caverns Rd, Boerne, TX 78015-8309 | 2009-11-30 |
| 1053555953 | Ramon Cancino | Family Medicine | 25723 Old Fredericksburg, Boerne, TX 78015 | 2009-04-23 |
| 1912162033 | Bertha Gaytan | Family Medicine | 1580 S Main St Ste 101, Boerne, TX 78006 | 2008-07-29 |
| 1487817102 | Michael Konopacki | Family Medicine | 105 Falls Ct, Ste 100, Boerne, TX 78006-2985 | 2008-07-02 |
| 1730366527 | Bradly Bundrant, M.d. | Family Medicine | 1414 E. Blanco Rd., Suite 5, Boerne, TX 78006-1832 | 2008-01-24 |
| 1346423688 | Ranjitha Gampala | Family Medicine | 1580 S Main St, Suite 101, Boerne, TX 78006-3311 | 2007-12-10 |
| 1982825964 | Lydia G Avila | Family Medicine | 124e Bandera Rd 102, Boerne, TX 78006-2849 | 2007-05-01 |
| Find all providers in BOERNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.