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Individual

JACOB CAVAZOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7355 BARLITE BLVD, SAN ANTONIO, TX 78224-1342
(210) 222-0333
Mailing address
7722 PARKWOOD WAY, SAN ANTONIO, TX 78249-4724

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1043089
TX

Other

Enumeration date
05/03/2022
Last updated
05/03/2022
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