Provider Demographics
NPI:1194858381
Name:CAVAZOS-SALAS, NORMA L (DO)
Entity Type:Individual
Prefix:DR
First Name:NORMA
Middle Name:L
Last Name:CAVAZOS-SALAS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2121 E GRIFFIN PKWY
Mailing Address - Street 2:STE 6
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-3072
Mailing Address - Country:US
Mailing Address - Phone:956-583-2300
Mailing Address - Fax:956-583-2295
Practice Address - Street 1:2121 E GRIFFIN PKWY
Practice Address - Street 2:STE 6
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-3072
Practice Address - Country:US
Practice Address - Phone:956-583-2300
Practice Address - Fax:956-583-2295
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2014-08-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ8951207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX116127502Medicaid
TX116127502Medicaid
TXG16976Medicare UPIN