Individual
DR. ANTONIO CAVAZOS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4242 MEDICAL DR, SUITE 6250, SAN ANTONIO, TX 78229
(210) 479-3297
(210) 479-3295
Mailing address
4242 MEDICAL DR STE 6250, SAN ANTONIO, TX 78229-5705
(210) 479-3297
(210) 479-3295
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D2390
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
D2390
TX
Other
Enumeration date
06/09/2006
Last updated
07/21/2022
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