Provider Demographics
NPI:1063772622
Name:ROBERT M NARVAEZ MD PA
Entity type:Organization
Organization Name:ROBERT M NARVAEZ MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:M
Authorized Official - Last Name:NARVAEZ
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:210-650-9119
Mailing Address - Street 1:12602 TOEPPERWEIN RD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:LIVE OAK
Mailing Address - State:TX
Mailing Address - Zip Code:78233-3269
Mailing Address - Country:US
Mailing Address - Phone:210-650-9119
Mailing Address - Fax:210-650-9681
Practice Address - Street 1:12602 TOEPPERWEIN RD
Practice Address - Street 2:SUITE 208
Practice Address - City:LIVE OAK
Practice Address - State:TX
Practice Address - Zip Code:78233-3269
Practice Address - Country:US
Practice Address - Phone:210-650-9119
Practice Address - Fax:210-650-9681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-16
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty