Healthcare Provider Details

I. General information

NPI: 1932289360
Provider Name (Legal Business Name): ALISON CAVINESS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 11/19/2024
Certification Date:
Deactivation Date: 08/17/2024
Reactivation Date: 11/19/2024

III. Provider practice location address

801 E WHITESTONE BLVD BLDG C
CEDAR PARK TX
78613-5028
US

IV. Provider business mailing address

4515 SETON CENTER PKWY SUITE 215
AUSTIN TX
78759-5290
US

V. Phone/Fax

Practice location:
  • Phone: 512-346-6611
  • Fax: 512-406-7303
Mailing address:
  • Phone: 512-231-5506
  • Fax: 512-406-6216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberK0436
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License NumberK0436
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: