1750609921 NPI number — MS. YVONNE DENISE NAVARRO PHARMD

Table of content: MS. YVONNE DENISE NAVARRO PHARMD (NPI 1750609921)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750609921 NPI number — MS. YVONNE DENISE NAVARRO PHARMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NAVARRO
Provider First Name:
YVONNE
Provider Middle Name:
DENISE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
PHARMD
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:
1750609921
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/15/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
921 COUNTY ROAD 2801 E
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MICO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78056-5511
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
830-612-2276
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7034 ALAMO DOWNS PKWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78238-4509
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-706-2000
Provider Business Practice Location Address Fax Number:
210-706-2201
Provider Enumeration Date:
05/12/2010

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: 183500000X , with the licence number:  38271 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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