Provider Demographics
NPI:1982947636
Name:NOVOA MEDICAL SERVICES, PA
Entity Type:Organization
Organization Name:NOVOA MEDICAL SERVICES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:CESAR
Authorized Official - Last Name:NOVOA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-351-0907
Mailing Address - Street 1:10781 PEBBLE HILLS BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79935-2038
Mailing Address - Country:US
Mailing Address - Phone:915-595-9944
Mailing Address - Fax:915-595-9922
Practice Address - Street 1:10781 PEBBLE HILLS
Practice Address - Street 2:SUITE A
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79935
Practice Address - Country:US
Practice Address - Phone:915-595-9944
Practice Address - Fax:915-595-9922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-01
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8386207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty