Cavazos, Edmund

Cavazos, Edmund is an individual health care provider with primary practice located at 4242 Medical Dr Ste 6300 , San Antonio TX 78229-5606. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Cavazos, Edmund can be contacted via phone (210) 614-8400.

Contact Information

Primary practice address
4242 Medical Dr Ste 6300 San Antonio TX 78229-5606
Phone: (210) 614-8400
Fax: (210) 614-8165
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 30639 Kentucky
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X J5084 Texas

Profile Details

NPI number 1568461986
LBN Legal business name Cavazos, Edmund
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Feb 6th, 2019 - about 5 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 1568461986 NPPES
Kentucky MEDICAID 64306392

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