Provider Demographics
NPI:1942243498
Name:CAVAZOS, ABEL (OTR,CHT)
Entity Type:Individual
Prefix:MR
First Name:ABEL
Middle Name:
Last Name:CAVAZOS
Suffix:
Gender:M
Credentials:OTR,CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 SPURS LN STE 248
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1671
Mailing Address - Country:US
Mailing Address - Phone:210-558-7025
Mailing Address - Fax:210-558-4762
Practice Address - Street 1:21 SPURS LN STE 248
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1671
Practice Address - Country:US
Practice Address - Phone:210-558-7025
Practice Address - Fax:210-558-4762
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109202225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8T4227OtherBCBS
TX9579557OtherCIGNA
TX7362700OtherAETNA
TX8T4227OtherBCBS
TX9579557OtherCIGNA