Provider Demographics
NPI:1760977698
Name:PARAVICINI GARCIA, LOURDES B
Entity Type:Individual
Prefix:MS
First Name:LOURDES
Middle Name:B
Last Name:PARAVICINI GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5700 NW CENTRAL DR STE 401
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092-2047
Mailing Address - Country:US
Mailing Address - Phone:713-538-5617
Mailing Address - Fax:
Practice Address - Street 1:5700 NW CENTRAL DR # 260-A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-2039
Practice Address - Country:US
Practice Address - Phone:346-701-7915
Practice Address - Fax:346-223-1988
Is Sole Proprietor?:No
Enumeration Date:2018-06-23
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXNA0010658841374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide