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Individual

DR. JOSEPH G NEVAREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1804 FM 646 RD W STE N, DICKINSON, TX 77539-3233
(832) 505-0327
Mailing address
6431 FANNIN ST, MSB 1.248, HOUSTON, TX 77030
(909) 615-0215

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R0290
TX
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
R0290
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A547430
CA
01
00A547431
BLUE SHIELD
CA
Enumeration date
08/10/2006
Last updated
04/24/2025
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