MEDICARE: CARMEN CAWLEY MD

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
1	207R00000X	Internal Medicine Physician	J1920	TX

General Provider Information

NPI Number	:	1801903885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARMEN CAWLEY MD

Provider Business Mailing Address
First Line	:	4315 MOONLIGHT WAY STE 102
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78230-1690
Country	:	US
Telephone Number	:	210-510-2141
Fax Number	:	210-510-2135

Provider Business Practice Location Address
First Line	:	4315 MOONLIGHT WAY STE 102
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78230-1690
Country	:	US
Telephone Number	:	210-510-2141
Fax Number	:	210-510-2135

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	03/17/2025

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