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1952666331 NPI number — JAVEN VALERIE CAVAZOS MD

NPI Number: 1952666331
Health Care Provider/Practitioner: JAVEN VALERIE CAVAZOS MD

Information about “1952666331” NPI (JAVEN VALERIE CAVAZOS MD) exists in 1952666331 in HTML format HTML  |  1952666331 in plain Text format TXT  |  1952666331 in PDF (Portable Document Format) PDF  |  1952666331 in an XML format XML  formats.

NPI Number : 1952666331 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952666331",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CAVAZOS",
    "FirstName": "JAVEN",
    "MiddleName": "VALERIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FERMO",
    "OtherFirstName": "JAVEN",
    "OtherMiddleName": "VALERIE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "17806 W INTERSTATE 10 STE 300",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN ANTONIO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78257-8222",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "830-476-0929",
    "MailingAddressFaxNumber": "830-239-9760",
    "FirstLinePracticeLocationAddress": "17806 W INTERSTATE 10 STE 300",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN ANTONIO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78257-8222",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "830-476-0929",
    "PracticeLocationAddressFaxNumber": "830-239-9760",
    "EnumerationDate": "07/11/2012",
    "LastUpdateDate": "11/23/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2084P0800X",
          "TaxonomyName": "Psychiatry Physician",
          "LicenseNumber": "265376",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2084P0800X",
          "TaxonomyName": "Psychiatry Physician",
          "LicenseNumber": "P5047",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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