Organization
JAVIER LAFUENTE MD,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAVIER A LAFUENTE M.D. (PRESIDENT)
(281) 203-0600
Entity
Organization
Contact information
Practice address
21402 PROVINCIAL BLVD, KATY, TX 77450-7587
(281) 203-0600
(281) 203-0620
Mailing address
21402 PROVINCIAL BLVD, KATY, TX 77450-7587
(281) 203-0600
(281) 203-0620
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
J2890
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467481721
NPI 1
TX
Enumeration date
02/20/2008
Last updated
03/26/2010
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