Carolyn Lewallen Cavazos, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

G2084 Issued in TX

Practice address

9639 Huebner Rd
San Antonio, TX 78240-3415

Phone

(210) 692-3636

Fax

(210) 692-3668

NPI assigned

Aug 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447268479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9639 HUEBNER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403415",
            "telephone_number": "210-692-3636",
            "fax_number": "210-692-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9639 HUEBNER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403415",
            "telephone_number": "210-692-3636",
            "fax_number": "210-692-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVAZOS",
        "first_name": "CAROLYN",
        "middle_name": "LEWALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "G2084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonio Cavazos III, M.D.
• Antonio Cavazos Jr., M.D.
• Bernard Rudolph Cavazos Jr., M.D.
• Bianca Cavazos, SLP ASSISTANT
• Carlos Cavazos, LPC
• Cora Cavazos, SLP-A
• Criselda Cavazos, MS,CCC-SLP
• Diana Mercedes Cavazos, RN, MSN, MHSA, PHD
• Dina Cavazos, MS, CRC, LPC
• Edmund Cavazos III, M.D.

• Gynecology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.