Provider Demographics
NPI:1659995512
Name:CAVAZOS-GUAJARDO, ROCIO BEATRIZ (AUD)
Entity Type:Individual
Prefix:
First Name:ROCIO
Middle Name:BEATRIZ
Last Name:CAVAZOS-GUAJARDO
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5425 N MCCOLL RD STE A
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2249
Mailing Address - Country:US
Mailing Address - Phone:956-630-7629
Mailing Address - Fax:855-888-9196
Practice Address - Street 1:5425 N MCCOLL RD STE A
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2249
Practice Address - Country:US
Practice Address - Phone:956-630-7629
Practice Address - Fax:855-888-9196
Is Sole Proprietor?:No
Enumeration Date:2020-06-05
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81158231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter