Eduardo Carlos Canova, MD
Individual provider Active NPI Internal Medicine Physician · Zapata, TX
NPI 1376854968 · NPPES record last updated Mar 9, 2017
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Dec 20, 2022.
Key facts
- NPI
- 1376854968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- P0706 (TX)
- Practice address
- 801 N US Highway 83
Zapata, TX 78076-3290 - Phone
- (956) 765-8494
- Fax
- (956) 765-8297
- NPI assigned
- Jun 29, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P0706 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Healthcare Providers PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | P0706 | TX | Yes |
Addresses
Primary practice location
801 N US Highway 83
Zapata, TX 78076-3290
Mailing address
6602 Polaris Dr
Ste 5
Laredo, TX 78041
Phone (973) 405-1115
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 286902602 | Medicaid | TX |
Other providers in Zapata, TX
- Advanced Aid Urgent Care PLLC
- Altamira Healthcare LLC
- Andres Garcia Zuniga MD PA
- Bienvenidos Adult Day Care Inc
- Bienvenidos Adult Day Care Inc
- Lorena G Cantu
- Johnny Cardona Cavazos
- Champion Care of Zapata, Inc
- Community Action Council of South Texas
- CVS Pharmacy Inc
All providers in Zapata, TX · Internal Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.