Provider Demographics
NPI:1659740298
Name:SERVICIOS NAVARRO LLC
Entity type:Organization
Organization Name:SERVICIOS NAVARRO LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BEATRIZ
Authorized Official - Middle Name:MEDICA
Authorized Official - Last Name:NAVARRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-920-3035
Mailing Address - Street 1:5930 HIGHWAY 6 N STE A2
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-1855
Mailing Address - Country:US
Mailing Address - Phone:281-856-7878
Mailing Address - Fax:281-856-7857
Practice Address - Street 1:5930 HIGHWAY 6 N STE A2
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-1855
Practice Address - Country:US
Practice Address - Phone:281-856-7878
Practice Address - Fax:281-856-7857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-24
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363LF0000X
TX261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1659740298OtherBRIGHT HEALTH
TX1659740298OtherAMBETTER
TX1659740298OtherCIGNA
TX457997101Medicaid
TX1659740298OtherMULTIPLAN
TX1659740298OtherMOLINA
TX1659740298OtherFRIDAY
TX1659740298OtherBLUE CROSS / BLUE SHIELD
TX1659740298OtherAETNA
TX1659740298OtherAMERIGROUP
TX1659740298OtherHUMANA
TX1659740298OtherGALAXY
TX1659740298OtherOSCAR
TX1659740298OtherUNITED HEALTH CARE