Provider Demographics
NPI:1023110467
Name:NAVARRO, TEODORO CALABIG (MD)
Entity type:Individual
Prefix:DR
First Name:TEODORO
Middle Name:CALABIG
Last Name:NAVARRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5041 ALABAMA ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79930
Mailing Address - Country:US
Mailing Address - Phone:915-564-7913
Mailing Address - Fax:915-564-6145
Practice Address - Street 1:5001 N.PIEDRAS ST.,
Practice Address - Street 2:
Practice Address - City:EL PAS
Practice Address - State:TX
Practice Address - Zip Code:79930
Practice Address - Country:US
Practice Address - Phone:915-564-7869
Practice Address - Fax:915-564-6145
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301041492208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology