MEDICARE: DR. ROBERTO HERNAN CAVAZOS JR. M.D.

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	207R00000X	Internal Medicine Physician	BP10056221	TX
2	208M00000X	Hospitalist Physician	S0645	TX

General Provider Information

NPI Number	:	1770938029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERTO HERNAN CAVAZOS JR. M.D.

Provider Business Mailing Address
First Line	:	2121 HEPBURN ST
Second Line	:	APT 301
City	:	HOUSTON
State	:	TX
Zip	:	77054-3242
Country	:	US
Telephone Number	:	956-605-6437
Fax Number	:

Provider Business Practice Location Address
First Line	:	2121 HEPBURN ST
Second Line	:	APT 301
City	:	HOUSTON
State	:	TX
Zip	:	77054-3242
Country	:	US
Telephone Number	:	956-605-6437
Fax Number	:

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

Provider Enumeration Date	:	04/24/2016
Last Update Date	:	04/22/2021

Similar Medicare Providers

1831229269 — TRINH PHAN
Practice Location Address:

2121 HEPBURN ST , #907
HOUSTON, TX
77054-3242

Practice Phone: 832-444-3499
Practice Fax:

1629259007 — DR. LUIS RICARDO DE LEON PHARM D.
Practice Location Address:

2121 HEPBURN ST , UNIT 502
HOUSTON, TX
77054-3242

Practice Phone: 832-262-9397
Practice Fax:

1750492583 — MRS. FREDDIE BRIDGES WATT LD
Practice Location Address:

12706 RIVA RIDGE LN
HOUSTON, TX
77071-3242

Practice Phone: 713-726-0618
Practice Fax: 713-726-0618

1831293471 — TONJALA R SEALS LMSW
Practice Location Address:

11800 CITY PARK CENTRAL LN , APT 225
HOUSTON, TX
77047-3242

Practice Phone: 713-791-1414
Practice Fax: 713-794-7352

1295002947 — MS. SHARON L GREEN
Practice Location Address:

11800 CITY PARK CENTRAL LN
HOUSTON, TX
77047-3242

Practice Phone: 832-216-6932
Practice Fax:

1679827976 — MISS NINA BASSETT LMT
Practice Location Address:

2222 MARONEAL ST , UNIT #1713
HOUSTON, TX
77030-3242

Practice Phone: 855-455-2229
Practice Fax:

Directions to “ DR. ROBERTO HERNAN CAVAZOS JR. M.D.” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.