Individual
MS. DIANA CAVAZOS X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, MHSA
Contact information
Practice address
100 N SANTA ROSA ST PH 22, SAN ANTONIO, TX 78207-3284
(210) 716-9592
Mailing address
100 N SANTA ROSA ST PH 22, SAN ANTONIO, TX 78207-3284
(210) 716-9592
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
828334
TX
Other
Enumeration date
02/13/2014
Last updated
07/09/2014
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