Organization
EDUARDO O CAVEDA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDUARDO OTTO CAVEDA M.D. (OWNER)
(361) 384-0909
Entity
Organization
Contact information
Practice address
110 ARMSTRONG STREET, BOX 1290, ORANGE GROVE, TX 78372
(361) 384-0909
(361) 384-9998
Mailing address
110 ARMSTRONG STREET, BOX 1290, ORANGE GROVE, TX 78372
(361) 384-0909
(361) 384-9998
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
K4017
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148743101
—
TX
05
—
153997501
—
TX
Enumeration date
07/06/2006
Last updated
01/03/2008
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