Dr Edmund Cavazos Iii, MD | |
4242 Medical Dr Ste 6300, San Antonio, TX 78229-5606 | |
(210) 614-8400 | |
(210) 614-8165 |
Full Name | Dr Edmund Cavazos Iii |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 4242 Medical Dr Ste 6300, San Antonio, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568461986 | NPI | - | NPPES |
64306392 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 30639 (Kentucky) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | J5084 (Texas) | Primary |
Entity Name | Progressive Behavioral Health, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659567238 PECOS PAC ID: 4486794906 Enrollment ID: O20091214000763 |
Mailing Address | Practice Location Address |
---|---|
Dr Edmund Cavazos Iii, MD Po Box 897, Bowling Green, KY 42102-0897 Ph: (270) 783-4070 | Dr Edmund Cavazos Iii, MD 4242 Medical Dr Ste 6300, San Antonio, TX 78229-5606 Ph: (210) 614-8400 |
Dr. Polo Alberto Banuelos, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11212 State Highway 151, Medical Plaza 1, Suite 200, San Antonio, TX 78251 Phone: 210-520-7160 Fax: 210-520-7190 | |
Dr. Helen G. Albanese, MEDICAL DOCTOR Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3247 Candlewood Lane, San Antonio, TX 78217 Phone: 210-826-6477 Fax: 210-826-6477 | |
Vicky L Litton, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 6711 S New Braunfels Ave, San Antonio, TX 78223 Phone: 210-532-9610 | |
Dr. Uma Kasinath, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Frank M. Tejeda Outpatient Clinic, 5788 Eckhert Road, San Antonio, TX 78240 Phone: 210-699-2205 Fax: 210-699-2257 | |
David Walter Wenzel, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1314 E Sonterra Blvd, Suite 601, San Antonio, TX 78258 Phone: 210-490-0016 Fax: 210-490-3010 | |
Robin E Hostetter, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 8400 Blanco Rd Ste 206, San Antonio, TX 78216 Phone: 210-979-9437 Fax: 210-979-9839 | |
Frederick W Brown, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 6711 S New Braunfels Ave Ste 100, San Antonio, TX 78223 Phone: 210-531-7805 Fax: 210-531-8172 |