Provider Demographics
NPI:1114179314
Name:CAVAZOS, DORA DEBRA (DC)
Entity type:Individual
Prefix:DR
First Name:DORA
Middle Name:DEBRA
Last Name:CAVAZOS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:DORA
Other - Middle Name:DEBRA
Other - Last Name:DAVILA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1211 EXPRESSWAY 83
Mailing Address - Street 2:
Mailing Address - City:DONNA
Mailing Address - State:TX
Mailing Address - Zip Code:78537-4201
Mailing Address - Country:US
Mailing Address - Phone:956-461-0777
Mailing Address - Fax:
Practice Address - Street 1:1211 EXPRESSWAY 83
Practice Address - Street 2:
Practice Address - City:DONNA
Practice Address - State:TX
Practice Address - Zip Code:78537-4201
Practice Address - Country:US
Practice Address - Phone:956-975-2561
Practice Address - Fax:956-975-2563
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10968111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor