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Individual

STEPHEN A. CAVAZOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP, RN, FNP-BC

Contact information

Practice address
5107 MEDICAL DR, SAN ANTONIO, TX 78229-4801
(210) 614-8612
Mailing address
5107 MEDICAL DR, SAN ANTONIO, TX 78229-4801
(210) 614-8612

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP137219
TX

Other

Enumeration date
04/26/2018
Last updated
10/22/2018
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