Cavazos, Bernard Rudolph

Cavazos, Bernard Rudolph is an individual health care provider with primary practice located at 9639 Huebner Rd , San Antonio TX 78240. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Cavazos, Bernard Rudolph can be contacted via phone (210) 692-3636.

Contact Information

Primary practice address
9639 Huebner Rd San Antonio TX 78240
Phone: (210) 692-3636
Fax: (210) 692-3668
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X F1439 Texas

Profile Details

NPI number 1790701738
LBN Legal business name Cavazos, Bernard Rudolph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Aug 31st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790701738 NPPES
Texas MEDICAID 035873101

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