# DETAR HOSPITAL NAVARRO

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

## Provider details

- **NPI number:** 1396034617
- **Authorized official:** MS. LANA COOLEY (DIRECTOR, MEDICAL STAFF DEVELOPMENT)
- **Authorized official phone:** (361) 788-6106

## Contact information

- **Practice address:** 506 E SAN ANTONIO ST, VICTORIA, TX 77901-6060
- **Practice address phone:** (361) 788-6106
- **Practice address fax:** (361) 788-6114
- **Mailing address:** 9111 LAKES AT 610 DR APT 523, HOUSTON, TX 77054-2413
- **Mailing address phone:** (832) 640-3103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | N9014 | TX | Yes |

## Other

- **Enumeration date:** 04/07/2011
- **Last updated:** 04/07/2011