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Organization
ROY L CAIVANO
Active
Organization
ROY L CAIVANO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY L CAIVANO D.O (OWNER)
(817) 447-9900
Entity
Organization
Contact information
Practice address
714 SW WILSHIRE BLVD, BURLESON, TX 76028-5711
(817) 447-9900
(817) 447-5010
Mailing address
714 SW WILSHIRE BLVD, BURLESON, TX 76028-5711
(817) 447-9900
(817) 447-5010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J7923
TX
2084P0800X
Psychiatry Physician
M1052
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178924001
—
TX
Enumeration date
06/20/2007
Last updated
08/21/2008
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