Individual
PHILIP LAVERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(173) 798-8890
Mailing address
7200 CAMBRIDGE, MS: BCM903, HOUSTON, TX 77030
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
T2423
TX
208M00000X
Hospitalist Physician
Primary
T2423
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2020
Last updated
07/28/2023
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