Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | G8312 | TX |
Y | 207QA0401X | Family Doctor - Addiction Medicine | G8312 | TX |
NPI | 1346228137 |
---|---|
Provider Name | Dr. Norma Linda Naghaviani |
First Address | San Antonio, TX 78213-4293 |
Second Address | San Antonio, TX 78213-4293 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2006 |
Last Update Date | 18/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B25075 | (02) | TX |