EDUARDO O CAVEDA MD PA NPI 1295766228

NPI Information

NPI: 1295766228
Provider Name: EDUARDO O CAVEDA MD PA
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
110 ARMSTRONG STREET
BOX 1290
ORANGE GROVE, TX
ZIP 78372
Phone: (361) 384-0909
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EDUARDO O CAVEDA MD PA is a rural health clinic center in Orange Grove, TX. EDUARDO O CAVEDA MD PA NPI is 1295766228. The provider is registered as an organization entity type.

The provider's business location address is:

110 ARMSTRONG STREET
BOX 1290
ORANGE GROVE, TX
ZIP 78372
Phone: (361) 384-0909
Fax: (361) 384-9998

The provider's authorized official is Eduardo Otto Caveda .
The authorized official title is Owner and has the following contact phone number (361) 384-0909.

The enumeration date for this NPI number is 7/6/2006 and was last updated on 1/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health	K4017	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	148743101	MEDICAID	TEXAS
2	00115T	MEDICARE PIN	TEXAS
3	153997501	MEDICAID	TEXAS
4	673831	MEDICARE OSCAR/CERTIFICATION	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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