Organization
DR. EDMUND CAVAZOS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDMUND CAVAZOS III M.D. (OWNER)
(512) 551-2949
Entity
Organization
Contact information
Practice address
4402 VANCE JACKSON RD STE 100, SAN ANTONIO, TX 78230
(210) 688-7735
(210) 698-7835
Mailing address
503 AVENUE A APT 1130, SAN ANTONIO, TX 78215-1272
(270) 779-9257
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
J5084
TX
Other
Enumeration date
07/10/2012
Last updated
01/30/2019
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