Individual
EVAN G PIVALIZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 500-6200
(713) 500-6264
Mailing address
PO BOX 201088, HOUSTON, TX 77216-1088
(713) 500-3500
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K3826
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132243001
CSHCN
TX
05
—
132243006
—
TX
05
—
132243008
—
TX
01
—
83Z520
BCBS
TX
01
—
8X6131
BCBS
TX
Enumeration date
06/02/2006
Last updated
03/18/2009
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