DR. BERNARD RUDOLPH CAVAZOS JR. (NPI# 1790701738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790701738 |
| Entity Type | Individual |
| Full Name | DR. BERNARD RUDOLPH CAVAZOS JR. |
| Credential | M.D. |
| Practice Address |
9639 Huebner Rd San Antonio TX 78240 |
| Practice Telephone | 2106923636 |
| Practice Fax Number | 2106923668 |
| Mailing Telephone | 2106923636 |
| Mailing Fax Number | 2106923668 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2011-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
F1439 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 035873101 | 05 |
| Street Address |
9639 HUEBNER RD |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558900316 | Gissette Dorinda Silva | Nurse Practitioner | 9639 Huebner Rd, San Antonio, TX 78240-1512 | 2019-12-27 |
| 1194247890 | Amaree Romo | Nurse Practitioner | 9639 Huebner Rd, San Antonio, TX 78240-1512 | 2017-07-13 |
| 1992930366 | Sally Bullock | Obstetrics & Gynecology | 9639 Huebner Rd, San Antonio, TX 78240 | 2009-05-28 |
| 1447268479 | Carolyn Lewallen Cavazos | Obstetrics & Gynecology | 9639 Huebner Rd, San Antonio, TX 78240-3415 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184285587 | Vipulkumar P Prajapati | Pathology | 7323 Snowden Rd Apt 3206, San Antonio, TX 78240 | 2019-06-26 |
| 1306406202 | Gabrielle Nicole Sepulveda | Audiologist | 21 Spurs Ln Ste 100, San Antonio, TX 78240 | 2019-06-13 |
| 1457919714 | Mbg Management Group LLC | Hospice Care, Community Based | 5460 Babcock Rd., Ste. 120, San Antonio, TX 78240 | 2019-06-03 |
| 1386117901 | Kevin M Miles | Counselor | 4820 Gus Eckert, #510, San Antonio, TX 78240 | 2019-01-07 |
| 1578046926 | Hubert Velasco | Physical Therapist | 5000 Fawn Meadow Lane, San Antonio, TX 78240 | 2018-09-12 |
| 1740767540 | Sunshine Pharmacy LLC | Pharmacy | 8840 Huebner Rd, San Antonio, TX 78240 | 2018-07-24 |
| 1982193132 | Fitch Surgical Assisting Group, LLC | Specialist/Technologist, Other | 6163 John Chapman, San Antonio, TX 78240 | 2018-05-03 |
| 1295243202 | Janice Marie Hennon | Nurse Practitioner | 9910 Huebner Rd., Suite 250, San Antonio, TX 78240 | 2018-01-12 |
| 1891213195 | Celina Paras | Dietitian, Registered | 6234 W. Jolie Ct., San Antonio, TX 78240 | 2017-09-07 |
| 1245757616 | Claudia G Valdez | Occupational Therapy Assistant | 9306 Maverick Pass, San Antonio, TX 78240 | 2017-08-27 |
| Find all providers in zip 78240 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982869350 | Mayank Pandya | Obstetrics & Gynecology | 14080 Nacogdoches Rd # 313, San Antonio, TX 78247-1944 | 2008-07-24 |
| 1972797421 | Denise A. Woody-gross, M.d., P.a. | Obstetrics & Gynecology | 7711 Louis Pasteur Ste 410, San Antonio, TX 78229-3419 | 2007-08-28 |
| 1023125010 | Karen Diaz | Obstetrics & Gynecology | 7703 Floyd Curl Dr Rm 428f, Uthscsa, Dept. of Ob/gyn, San Antonio, TX 78229-3901 | 2006-08-24 |
| 1275549776 | Oak Hills Women's Center, P.a. | Obstetrics & Gynecology | 9639 Huebner Rd., San Antonio, TX 78240 | 2006-08-01 |
| 1891774816 | Manuel Trevino De Los Santos | Obstetrics & Gynecology | 8318 Ancient Oaks, San Antonio, TX 78255-3504 | 2006-01-10 |
| 1013278845 | Rorey Marie Walsh | Obstetrics & Gynecology | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2012-06-07 |
| 1710287966 | Martha Marie Garza Md Pa | Obstetrics & Gynecology | 4499 Medical Dr, Ste. 151, San Antonio, TX 78229-3735 | 2010-10-21 |
| 1770801292 | Steven G. Pilkington, Md, Pllc | Obstetrics & Gynecology | 4499 Medical Dr, Ste. 151-a, San Antonio, TX 78229-3735 | 2010-05-07 |
| 1316191141 | Pandya Medical P.a. | Obstetrics & Gynecology | 14080 Nacogdoches Rd # 313, San Antonio, TX 78247-1944 | 2008-11-06 |
| 1942451075 | Cancer Care Network of South Texas Pa | Obstetrics & Gynecology | 7922 Ewing Halsell, Ste. 220, San Antonio, TX 78229-3724 | 2008-10-07 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78240 |
Please comment or provide details below to improve the information on DR. BERNARD RUDOLPH CAVAZOS JR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.