Provider Demographics
NPI:1891487799
Name:AURELIO R CERVERA MD PA
Entity Type:Organization
Organization Name:AURELIO R CERVERA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:AURELIO
Authorized Official - Middle Name:R
Authorized Official - Last Name:CERVERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-516-5922
Mailing Address - Street 1:4321 MARSHA SHARP FWY
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79407-2504
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:806-701-4972
Practice Address - Street 1:4316 23RD ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1812
Practice Address - Country:US
Practice Address - Phone:806-516-5922
Practice Address - Fax:806-853-9315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-22
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty