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NPI Code Detail

MEDICARE: THELMA CAVAZOS FITZGERALD APRN FNP-BC PMHNP-BC

MEDICARE: THELMA CAVAZOS FITZGERALD APRN FNP-BC PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP111641TX
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAP111641TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518018886
Entity Type Code : Individual
Provider Name (Legal Business Name) : THELMA CAVAZOS FITZGERALD APRN FNP-BC PMHNP-BC
Provider Business Mailing Address
First Line : PO BOX 531968
Second Line :
City : HARLINGEN
State : TX
Zip : 78553-1968
Country : US
Telephone Number : 833-887-4863
Fax Number : 956-296-6842
Provider Business Practice Location Address
First Line : 2902 HAINE DR
Second Line :
City : HARLINGEN
State : TX
Zip : 78550-8969
Country : US
Telephone Number : 956-296-4000
Fax Number : 956-296-2842
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2007
Last Update Date : 09/24/2025

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Directions to “ THELMA CAVAZOS FITZGERALD APRN FNP-BC PMHNP-BC” Practice Location

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