Organization
CANAL FAMILY AND INDUSTRIAL MEDICINE P.A.
Active
Other names
Navigation Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIME E. DUARTE M.D. (MEDICAL DIRECTOR)
(713) 223-4466
Entity
Organization
Contact information
Practice address
3003 NAVIGATION BLVD, HOUSTON, TX 77003-1239
(713) 223-4466
(713) 223-1571
Mailing address
3003 NAVIGATION BLVD, HOUSTON, TX 77003-1239
(713) 223-4466
(713) 223-1571
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10011602
DUARTE AMERIGROUP
TX
05
—
163266301
—
TX
05
—
163266302
—
TX
05
—
182946701
—
TX
05
—
182946702
—
TX
05
—
182946703
—
TX
01
—
7893532
DUARTE AETNA
TX
01
—
7948658
MONCAYO AETNA
TX
01
—
8S0530
BLUE CROSS DUARTE
TX
01
—
8S0531
BLUE CROSS MONCAYO
TX
Enumeration date
07/26/2006
Last updated
09/08/2011
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