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NPI Code Detail

MEDICARE: DR. BENJAMIN RAY PARVA MD

MEDICARE: DR. BENJAMIN RAY PARVA MD
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207P00000XEmergency Medicine PhysicianW4174TX
3207P00000XEmergency Medicine PhysicianMD478184PA

General Provider Information

NPI Number : 1245793751
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BENJAMIN RAY PARVA MD
Provider Business Mailing Address
First Line : 1504 TAUB LOOP
Second Line :
City : HOUSTON
State : TX
Zip : 77030-1608
Country : US
Telephone Number : 713-873-8890
Fax Number :
Provider Business Practice Location Address
First Line : 1504 TAUB LOOP
Second Line :
City : HOUSTON
State : TX
Zip : 77030-1608
Country : US
Telephone Number : 713-873-8890
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2019
Last Update Date : 06/15/2026

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