Individual
DR. KATYA BASORA-ROVIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
608 GATEWAY CENTRAL STE 201, MARBLE FALLS, TX 78654-6356
(830) 693-7044
Mailing address
12120 OLD STAGE TRL, AUSTIN, TX 78750-1713
(512) 839-9722
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
32578
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10033
CRUZ AZUL
PR
01
—
206760
PREFERRED HEALTH
PR
01
—
26509
AMERICAN HEALTH
PR
01
—
41542
TRIPLE S
PR
01
—
7030022
HUMANA
PR
01
—
9969
INTERNATIONAL MEDICAL CAR
PR
Enumeration date
03/18/2006
Last updated
05/27/2021
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