Provider Demographics
NPI:1104538602
Name:NAVA, PASCUAL ISRAEL (RDMS,RVT)
Entity type:Individual
Prefix:
First Name:PASCUAL
Middle Name:ISRAEL
Last Name:NAVA
Suffix:
Gender:M
Credentials:RDMS,RVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3636 HEALY DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-0750
Mailing Address - Country:US
Mailing Address - Phone:915-787-9157
Mailing Address - Fax:
Practice Address - Street 1:3636 HEALY DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-0750
Practice Address - Country:US
Practice Address - Phone:915-787-9157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-16
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2414952085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound