Basic Information
| Provider Information | |||||||||
| NPI: | 1023110467 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NAVARRO | ||||||||
| FirstName: | TEODORO | ||||||||
| MiddleName: | CALABIG | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5041 ALABAMA ST | ||||||||
| Address2: | |||||||||
| City: | EL PASO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 79930 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9155647913 | ||||||||
| FaxNumber: | 9155646145 | ||||||||
| Practice Location | |||||||||
| Address1: | 5001 N.PIEDRAS ST., | ||||||||
| Address2: | |||||||||
| City: | EL PAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 79930 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9155647869 | ||||||||
| FaxNumber: | 9155646145 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/05/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208800000X | 4301041492 | MI | Y | Allopathic & Osteopathic Physicians | Urology |
No ID Information.