Active NPI
Patricia E Cavazos, MD
- Pediatrics Physician
- Laredo, TX
National Provider Identifier
1164485447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- L8301
- Practice address
- 1616 Logan
Laredo, TX 78040 - Phone
- (956) 722-5162
- Fax
- (956) 722-0676
- NPI assigned
- Apr 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | L8301 | TX | Primary |
Addresses
Primary practice location
1616 Logan
Laredo, TX 78040
Mailing address
1616 Logan
Laredo, TX 78040
Phone (956) 722-5162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019LP | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190325001946 | TX | Order and Referring Only - Pediatric Medicine | 5092758177 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L8301 | TX | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1164485447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 LOGAN",
"city": "LAREDO",
"state": "TX",
"postal_code": "78040",
"telephone_number": "956-722-5162",
"fax_number": "956-722-0676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 LOGAN",
"city": "LAREDO",
"state": "TX",
"postal_code": "78040",
"telephone_number": "956-722-5162",
"fax_number": "956-722-0676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVAZOS",
"first_name": "PATRICIA",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "L8301",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0019LP",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.