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Individual

DR. ROGELIO GARCIA-CAVAZOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4848 NE STALLINGS DR, SUITE 205, NACOGDOCHES, TX 75965-1239
(936) 568-3364
(936) 462-4450
Mailing address
4848 NE STALLINGS DR, SUITE 205, NACOGDOCHES, TX 75965-1239
(936) 568-3364
(936) 462-4450

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L7387
TX
207RR0500X
Rheumatology Physician
Primary
L7387
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
081896501
TX
05
092953101
TX
05
163022004
TX
01
8K5416
BLUE CROSS BLUE SHIELD
TX
01
P00175266
PALMETTO GBA
TX
Enumeration date
06/20/2006
Last updated
12/11/2013
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