MEDICARE: MR. JOSEPH NAVARIJO 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
1	207RC0000X	Cardiovascular Disease Physician	J6619	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	5110775	OTHER	TX	AETNA
3	060054876	OTHER	TX	MCR RAILROAD
4	82T4GX	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1912009150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSEPH NAVARIJO MD

Provider Business Mailing Address
First Line	:	6624 FANNIN
Second Line	:	#2480
City	:	HOUSTON
State	:	TX
Zip	:	77030-2309
Country	:	US
Telephone Number	:	713-529-5530
Fax Number	:	713-383-0051

Provider Business Practice Location Address
First Line	:	6624 FANNIN
Second Line	:	#2480
City	:	HOUSTON
State	:	TX
Zip	:	77030-2309
Country	:	US
Telephone Number	:	713-529-5530
Fax Number	:	713-383-0051

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2006
Last Update Date	:	02/03/2010

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