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Individual

RAMIRO D. CAVAZOS

Active
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Individual

RAMIRO D. CAVAZOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
D9388
TX
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
D9388
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10028699
AMERIGROUP
TX
05
127096903
TX
01
130900703
MEDICAID EPSDT
TX
01
4229409
AETNA
TX
01
83214X
BCBS
TX
Enumeration date
05/01/2006
Last updated
07/17/2008
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