Individual
JENNIFER CASERTA BADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1510 W 34TH ST, STE 100, AUSTIN, TX 78703-1400
(512) 533-9900
(512) 533-9901
Mailing address
1510 W 34TH ST, STE 100, AUSTIN, TX 78703-1400
(512) 533-9900
(512) 533-9901
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001863
CT
363AS0400X
Surgical Physician Assistant
4948
AZ
363AS0400X
Surgical Physician Assistant
Primary
PA05397
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
346354901
—
TX
Enumeration date
01/10/2007
Last updated
04/27/2017
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