Individual
OCTAVIO J CALVILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6410 FANNIN ST, 1115, HOUSTON, TX 77030-3000
(713) 554-0980
(713) 554-0987
Mailing address
PO BOX 4346, DEPT 37, HOUSTON, TX 77210-4346
(713) 554-0980
(713) 554-0987
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G6062
TX
208VP0000X
Pain Medicine Physician
G6062
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00L33Y
BCBS
TX
Enumeration date
06/10/2006
Last updated
11/05/2007
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