Healthcare Provider Details
I. General information
NPI: 1114972080
Provider Name (Legal Business Name): MONICA ANZ-CAVAZOS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 05/22/2006
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9618 HUEBNER RD STE 202
SAN ANTONIO TX
78240-1776
US
IV. Provider business mailing address
9618 HUEBNER RD STE 202
SAN ANTONIO TX
78240-1776
US
V. Phone/Fax
- Phone: 210-651-0303
- Fax: 210-651-0302
- Phone: 210-651-0303
- Fax: 210-651-0302
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | M2541 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: