Healthcare Provider Details

I. General information

NPI: 1730135237
Provider Name (Legal Business Name): FRANCISCO JAVIER CERVANTES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 04/25/2023
Certification Date: 04/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3507 JAIME ZAPATA MEMORIAL HWY STE 5
LAREDO TX
78043-4770
US

IV. Provider business mailing address

3507 JAIME ZAPATA MEMORIAL HWY STE 5
LAREDO TX
78043-4770
US

V. Phone/Fax

Practice location:
  • Phone: 956-726-9252
  • Fax: 956-753-3442
Mailing address:
  • Phone: 956-726-9252
  • Fax: 956-753-3442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberH5507
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberH5507
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: