# OCTAVIO CALVILLO M.D.,PH.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174713051
- **Authorized official:** OCTAVIO CALVILLO M.D.PH.,D (M.D.)
- **Authorized official phone:** (713) 979-3190

## Contact information

- **Practice address:** 6560 FANNIN ST, \#1612, HOUSTON, TX 77030-2761
- **Practice address phone:** (713) 979-3190
- **Practice address fax:** (713) 979-0132
- **Mailing address:** PO BOX 4346, DEPT 37, HOUSTON, TX 77210-4346
- **Mailing address phone:** (713) 979-3190
- **Mailing address fax:** (713) 979-0132

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | G6062 | TX | Yes |

## Other

- **Enumeration date:** 07/27/2007
- **Last updated:** 07/31/2009