Provider Demographics
NPI:1538347729
Name:NARVADEZ, RICHARD C (PT)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:C
Last Name:NARVADEZ
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2312 ZENAIDA AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-5501
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:220 S BICENTENNIAL BLVD
Practice Address - Street 2:STE. A
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-7016
Practice Address - Country:US
Practice Address - Phone:956-688-6141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-10
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1121291225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist