Healthcare Provider Details

I. General information

NPI: 1093762957
Provider Name (Legal Business Name): NATVER JARIWALA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 07/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

714 HOSPITAL DR
ANDREWS TX
79714-3617
US

IV. Provider business mailing address

714 HOSPITAL DR
ANDREWS TX
79714-3617
US

V. Phone/Fax

Practice location:
  • Phone: 432-523-3936
  • Fax: 432-464-2563
Mailing address:
  • Phone: 432-523-3936
  • Fax: 432-464-2563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberE3322
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberE3322
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: