Individual
CARLOS CAVAZOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
2001 S CYNTHIA ST STE A, MCALLEN, TX 78503-1278
(956) 630-6300
(956) 630-3443
Mailing address
2001 S CYNTHIA ST, STE A, MCALLEN, TX 78503-1278
(956) 630-6300
(956) 630-3443
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
113162
TX
225XP0200X
Pediatric Occupational Therapist
113162
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167033301
—
TX
Enumeration date
07/30/2009
Last updated
10/20/2009
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