Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | J2890 | TX |
N | 208200000X | Surgeon | J2890 | TX |
N | 208600000X | Surgeon | J2890 | TX |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | J2890 | TX |
NPI | 1467481721 |
---|---|
Provider Name | Dr. Javier A. Lafuente |
First Address | Houston, TX 77094-1378 |
Second Address | Houston, TX 77094-1378 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
125846909 | (05) | TX |
1538337845 | NPI 2 (01) | TX |