Doctor Name: | DR. JULIO C. NOVOA |
NPI Number: | 1164413803 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | K8386 |
Business Practice Address: | 5140 Montana Ave El Paso, TX - 799034904 |
Business Phone Number: | 9157722713 |
Business Fax Number: | 9157722667 |
Mailing Address: | 310 N Mesa St, Suite 520 EL PASO |
State: | TX |
Postal Code: | 799011364 |
Phone Number: | 9153510907 |
Fax Number: | |
NPI Enumeration Date: | 11/02/2005 |
NPI Last Update Date: | 05/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | K8386 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |