Ingrid Marion Cavanaugh in San Antonio - Medical
Ingrid Marion Cavanaugh - NPI 1023209483
Ingrid Marion Cavanaugh is a Medical in San Antonio, Texas. Ingrid Marion Cavanaugh practices all healthcare services and medical treatments related to Medical. The NPI Number for Ingrid Marion Cavanaugh is 1023209483. The last update date is 2017-09-13.
Ingrid Marion Cavanaugh's current location address is 4502 Medical Dr, San Antonio, Texas. You can contact this provider via phone number 2103584000. The mailing address for Ingrid Marion Cavanaugh is 4502 Medical Dr, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ingrid Marion Cavanaugh |
|---|---|
| Address | 4502 Medical Dr, San Antonio, Texas |
| Phone Number | 2103584000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1023209483 |
|---|---|
| Provider Enumeration Date | 2007-08-09 |
| Last Updated Date | 2017-09-13 |
Provider Mailing Address Detail
| Address | 4502 Medical Dr |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782294402 |
| Phone Number | 2103584000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA-9102714 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200315403 | TX | -- | |
| 200315404 | TX | CSHCN |
Post Comment/ Review Below
What is the Ingrid Marion Cavanaugh's 1023209483?
The Ingrid Marion Cavanaugh's NPI (National Provider Identifier) Number is 1023209483. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Ingrid Marion Cavanaugh is physically located?
The Ingrid Marion Cavanaugh is situated at the following address: 4502 Medical Dr, San Antonio, TX 782294402.
What is Ingrid Marion Cavanaugh's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Ingrid Marion Cavanaugh is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.
On what date did the Ingrid Marion Cavanaugh receive the assignment of its 1023209483 from the Centers for Medicare & Medicaid Services?
The Ingrid Marion Cavanaugh was issued its 1023209483 by the Centers for Medicare & Medicaid Services on 2007-08-09.
When was the information pertaining to Ingrid Marion Cavanaugh most recently updated or revised?
The details related to Ingrid Marion Cavanaugh, including its address, specialty, and other relevant information, were last updated or revised on 2017-09-13.
NPI Number: 1730182858
Address: 40 Old Lancaster Rd Apt 412, Merion Station, PA