Physician Compare National (NPI:1114179314)

HEALTHCARE PROVIDER: DORA DEBRA CAVAZOS D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1114179314
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7113116625
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110114000519
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CAVAZOS
	Individual professional last name
Provider First Name	DORA
	Individual professional first name
Provider Middle Name	DEBRA
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1205 S EXPRESSWAY 83 A
	Group Practice or individual's line 1 address
Line 2 Street Address	UNITED CHIROPRACTIC AND REHABILITATION CENTER
	Group Practice or individual's line 2 address
City	DONNA
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	785374201
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y