Cavazos, Mark
Cavazos, Mark is an sole proprietor health care provider with primary practice located at 725 Pate St , Albany TX 76430-3225. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Cavazos, Mark can be contacted via phone (325) 762-2447.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 15230 | Texas |
Profile Details
| NPI number | 1134214489 |
|---|---|
| LBN Legal business name | Cavazos, Mark |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Apr 3rd, 2024 - about 7 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134214489 | NPPES |
| Texas | MEDICAID | 167736103 |
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