Healthcare Provider Details

I. General information

NPI: 1164961124
Provider Name (Legal Business Name): MARGARITA NAVARRETE-HUTCHINSON L.M.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2017
Last Update Date: 02/22/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8108 BERNARD ST
VOLENTE TX
78641-9657
US

IV. Provider business mailing address

8108 BERNARD ST
VOLENTE TX
78641-9657
US

V. Phone/Fax

Practice location:
  • Phone: 713-298-2759
  • Fax:
Mailing address:
  • Phone: 713-298-2759
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT034816
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: