MEDICARE: NAVARRO ORTHODONTIX OF MCALLEN, PLL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558584508
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NAVARRO ORTHODONTIX OF MCALLEN, PLL

Provider Business Mailing Address
First Line	:	4514 COLE AVE STE 910
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75205-8463
Country	:	US
Telephone Number	:	214-526-3363
Fax Number	:	214-520-7753

Provider Business Practice Location Address
First Line	:	2505 CORNERSTONE BLVD
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-8463
Country	:	US
Telephone Number	:	956-972-0004
Fax Number	:	956-972-0037

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CARLOS NAVARRO
Credential	:	D.D.S, M.S.D
Telephone Number	:	214-526-3363

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	04/06/2011

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