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NPI Code Detail

MEDICARE: CAROLINA ASTRID CAVAZOS

MEDICARE: CAROLINA ASTRID CAVAZOS
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
1225100000XPhysical Therapist1407379TX

General Provider Information

NPI Number : 1720968506
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINA ASTRID CAVAZOS
Provider Business Mailing Address
First Line : 5810 E SAM HOUSTON PKWY N STE K
Second Line :
City : HOUSTON
State : TX
Zip : 77049-2528
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 838 W DRAKE RD STE 105
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-5539
Country : US
Telephone Number : 970-449-1300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2025
Last Update Date : 03/10/2026

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Directions to “ CAROLINA ASTRID CAVAZOS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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