Organization
OCTAVIO CALVILLO M.D.,PH.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OCTAVIO CALVILLO M.D.PH.,D (M.D.)
(713) 979-3190
Entity
Organization
Contact information
Practice address
6560 FANNIN ST, #1612, HOUSTON, TX 77030-2761
(713) 979-3190
(713) 979-0132
Mailing address
PO BOX 4346, DEPT 37, HOUSTON, TX 77210-4346
(713) 979-3190
(713) 979-0132
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G6062
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163404001
—
TX
01
—
8AJ682
BCBS GROUP #
TX
Enumeration date
07/27/2007
Last updated
07/31/2009
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