Most Relevant Information
Provider Data
| NPI Number: | 1003364688 |
| Provider Name: | RENEE AMANDA CAVAZOS |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 112260 |
Most Important Dates
| Enumeration Date: | 09/13/2016 |
| Last Updated: | 09/13/2016 |
Provider Practice Location
2301 RIDDLE RD
AUSTIN
TX
787481310
Practice Location Phone/Fax
| Phone: | 5122334000 |
| Fax: |
Provider Mailing Location
705 EMERALD WOOD DR
AUSTIN
TX
787452126
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |