MEDICARE: DR. RAMIRO D CAVAZOS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	M1571	TX

General Provider Information

NPI Number	:	1619977055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAMIRO D CAVAZOS MD

Provider Business Mailing Address
First Line	:	9618 HUEBNER RD STE 202
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-1776
Country	:	US
Telephone Number	:	210-651-0303
Fax Number	:	210-651-0302

Provider Business Practice Location Address
First Line	:	9618 HUEBNER RD STE 202
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-1776
Country	:	US
Telephone Number	:	210-651-0303
Fax Number	:	210-651-0302

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	12/15/2025

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