Octavio Calvillo M.D.,Ph.D.

LBN: Octavio Calvillo M.D.,Ph.D.
Octavio Calvillo M.D.,Ph.D. is an health care organization with primary practice located at 6560 Fannin St #1612, Houston TX 77030-2761. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Octavio Calvillo M.D.,Ph.D. can be contacted via phone (713) 979-3190, or through Calvillo, Octavio via phone (713) 979-3190.

Contact Information

Primary practice address
6560 Fannin St #1612 Houston TX 77030-2761
Phone: (713) 979-3190
Fax: (713) 979-0132
Website:
Map and Directions
Authorized official contact:
Name: Calvillo, Octavio M.D.PH.,D
Phone: (713) 979-3190

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X G6062 Texas

Profile Details

NPI number 1174713051
LBN Legal business name Octavio Calvillo M.D.,Ph.D.
DBA Doing business as
Authorized official Calvillo, Octavio M.D.PH.,D
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2007
Last updated Jul 31st, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174713051 NPPES
Texas MEDICAID 163404001
Texas Other 8AJ682

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