Individual
EDDIE NAVARRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
8700 CROWNHILL BLVD STE 300, SAN ANTONIO, TX 78209-1128
(210) 824-5530
Mailing address
11442 REMSEN ST, SAN ANTONIO, TX 78251-3230
(210) 708-5932
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
887661
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16300000X
—
TX
Enumeration date
07/22/2019
Last updated
07/22/2019
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