Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | D3179 | TX |
NPI | 1285626853 |
---|---|
Provider Name | Dr. Jose F Cavazos |
First Address | San Antonio, TX 78212-5609 |
Second Address | San Antonio, TX 78212-5609 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2005 |
Last Update Date | 14/12/2007 |