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General NPI Number Information
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NPI Number | 1710835020
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Entity Type | Individual
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Provider Name | AMY LEE CAVAZOS LPA
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Gender | Female
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Dates
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Enumeration Date | 03/20/2026
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Last Update Date | 03/20/2026
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Provider Practice Location Address
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Address Line | 1001 S DAIRY ASHFORD RD STE 376
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City | HOUSTON
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State | TX
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Zip | 77077-2862
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Country | US
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Telephone | 832-306-3628
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Fax |
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Provider Business Mailing Address
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Address Line | 1427 GAMMA ST
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City | PASADENA
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State | TX
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Zip | 77504-3916
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Country | US
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Telephone | 832-965-8476
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number | 41114
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 41114
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License Number State | TX
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