Provider Demographics
NPI:1154351377
Name:JOLIVET, DAVID A (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:JOLIVET
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5773 WOODWAY DR
Mailing Address - Street 2:# AK
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-1501
Mailing Address - Country:US
Mailing Address - Phone:832-615-1631
Mailing Address - Fax:832-225-9156
Practice Address - Street 1:16630 IMPERIAL VALLEY DR
Practice Address - Street 2:# 115
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-3409
Practice Address - Country:US
Practice Address - Phone:281-260-0087
Practice Address - Fax:281-260-0676
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
TXG-2160204D00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Not Answered208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice