Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 4301041492 | MI |
NPI | 1023110467 |
---|---|
Provider Name | Dr. Teodoro Calabig Navarro |
First Address | El Paso, TX 79930 |
Second Address | El Pas, TX 79930 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2006 |
Last Update Date | 08/07/2007 |