Provider Demographics
NPI:1619977055
Name:CAVAZOS, RAMIRO D (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMIRO
Middle Name:D
Last Name:CAVAZOS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9618 HUEBNER RD STE 202
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1776
Mailing Address - Country:US
Mailing Address - Phone:210-651-0303
Mailing Address - Fax:210-651-0302
Practice Address - Street 1:9618 HUEBNER RD STE 202
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1776
Practice Address - Country:US
Practice Address - Phone:210-651-0303
Practice Address - Fax:210-651-0302
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-28
Last Update Date:2024-02-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM1571208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXI 21162Medicare UPIN