Healthcare Provider Details

I. General information

NPI: 1063772622
Provider Name (Legal Business Name): ROBERT M NARVAEZ MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2012
Last Update Date: 02/11/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12315 JUDSON RD STE 318
LIVE OAK TX
78233-3265
US

IV. Provider business mailing address

12315 JUDSON RD STE 318
LIVE OAK TX
78233-3265
US

V. Phone/Fax

Practice location:
  • Phone: 210-650-9119
  • Fax: 210-650-9681
Mailing address:
  • Phone: 210-650-9119
  • Fax: 210-650-9681

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: NARVAEZ M ROBERT
Title or Position: OWNER/MD
Credential: MD
Phone: 210-650-9119