Organization Active NPI

Javen Valerie Cavazos MD PLLC

  • Psychiatry Physician
  • Longview, TX
National Provider Identifier
1992110035
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
P5047 Issued in TX
Legal business name
JAVEN VALERIE CAVAZOS MD PLLC
Practice address
3700 Pine Tree Rd
Longview, TX 75604-9687
Phone
(903) 331-0506
Fax
(903) 331-0462
NPI assigned
Jun 27, 2014
Last updated
Jun 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Authorized official

Name
Javen Valerie Cavazos, M.D.
Title
Owner
Phone
(903) 331-0506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X P5047 TX Primary

Addresses

Primary practice location

3700 Pine Tree Rd
Longview, TX 75604-9687

Mailing address

PO Box 2902
Longview, TX 75606-2902
Phone (903) 331-0506

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1992110035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2902",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756062902",
            "telephone_number": "903-331-0506",
            "fax_number": "903-331-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 PINE TREE RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756049687",
            "telephone_number": "903-331-0506",
            "fax_number": "903-331-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVEN VALERIE CAVAZOS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-27",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "CAVAZOS",
        "authorized_official_first_name": "JAVEN",
        "authorized_official_middle_name": "VALERIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-331-0506",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "P5047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; 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.