Provider Demographics
NPI:1407033418
Name:HAVARD, CLAUDIA PATRICIA (MT)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:PATRICIA
Last Name:HAVARD
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:426 BASHAM RD
Mailing Address - Street 2:
Mailing Address - City:POLLOK
Mailing Address - State:TX
Mailing Address - Zip Code:75969-4412
Mailing Address - Country:US
Mailing Address - Phone:281-813-9195
Mailing Address - Fax:
Practice Address - Street 1:426 BASHAM RD
Practice Address - Street 2:
Practice Address - City:POLLOK
Practice Address - State:TX
Practice Address - Zip Code:75969-4412
Practice Address - Country:US
Practice Address - Phone:281-813-9195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-22
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist