Individual
MR. JEFFREY DAVID CAVANAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.C.P.
Contact information
Practice address
3463 MAGIC DR, SUITE T21, SAN ANTONIO, TX 78229-2973
(210) 614-8101
(210) 614-8102
Mailing address
15010 IRON HORSE WAY, HELOTES, TX 78023-4593
(210) 621-3572
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
PF1057
TX
246ZC0007X
Surgical Assistant
166637
CO
Other
Enumeration date
01/19/2012
Last updated
06/16/2016
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