1396191235 NPI number — FRANCES NATALIA CERVONI CURET MD

Table of content: FRANCES NATALIA CERVONI CURET MD (NPI 1396191235)

General
Organization/Personal Information
Provider's Other Name Information
NPI Number Information
Provider's Business Mailing Address
Provider's Practice Location Mailing Address
Additional Information
Authorized Official
Provider Taxonomy Codes
Other Provider's Identifiers (legacy, non-NPI)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396191235 NPI number — FRANCES NATALIA CERVONI CURET MD

Organization/Personal Information

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:
CERVONI CURET

Provider First Name:
FRANCES

Provider Middle Name:
NATALIA

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:
MD

Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1396191235

Entity Type Code:
Individual

Replacement NPI:

Last Update Date:
08/25/2022

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6410 FANNIN ST STE 722

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:
HOUSTON

Provider Business Mailing Address State Name:
TX

Provider Business Mailing Address Postal Code:
77030-5205

Provider Business Mailing Address Country Code:
US

Provider Business Mailing Address Telephone Number:
713-500-6500

Provider Business Mailing Address Fax Number:
713-500-6497

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6431 FANNIN ST

Provider Second Line Business Practice Location Address:
SUITE MSB 1.134

Provider Business Practice Location Address City Name:
HOUSTON

Provider Business Practice Location Address State Name:
TX

Provider Business Practice Location Address Postal Code:
77030-1501

Provider Business Practice Location Address Country Code:
US

Provider Business Practice Location Address Telephone Number:
713-500-6500

Provider Business Practice Location Address Fax Number:
713-500-6497

Provider Enumeration Date:
05/10/2016

Additional Information

			
		

Authorized Official

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

Provider Taxonomy Codes

Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Taxonomy code: 207RH0003X , with the licence number: T9074 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .