Individual
DR. JORGE MIGUEL CAVAZOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5223 HAMILTON WOLFE RD, SAN ANTONIO, TX 78229-4463
(210) 614-1234
(210) 614-0952
Mailing address
8415 DATAPOINT DR STE 700, SAN ANTONIO, TX 78229-3327
(210) 614-1234
(210) 614-0952
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
M7898
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308721503
—
TX
Enumeration date
01/30/2008
Last updated
11/15/2021
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