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Ms. Ingrid Marion Cavanaugh, PA-C
Medical Physician Assistant in San Antonio, Texas
NPI 1023209483

Ingrid Marion Cavanaugh is a Medical Physician Assistant based in San Antonio, TX and is specialized in Medical. Ingrid Marion Cavanaugh practices in San Antonio, TX and has the professional credentials of PA-C. The NPI Number for Ingrid Marion Cavanaugh is 1023209483 and holds a License No. PA-9102714 (Texas).

The current practice location address for Ingrid Marion Cavanaugh is 4502 Medical Dr, San Antonio, TX and can be reached out via phone at 210-358-4000.

Location: 4502 Medical Dr, San Antonio, TX, 78229-3901
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Provider Profile Details
NPI Number
1023209483
Provider Name
Ingrid Marion Cavanaugh
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
4502 Medical Dr, San Antonio, TX, 78229-3901
Phone Number
210-358-4000
Fax Number
Provider Enumeration Date
08/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200315403 05 TX
200315404 01 TX CSHCN
institution
Provider Business Practice Location Address Details
Address
4502 Medical Dr
City
State
Zip
78229-4402
Phone Number
210-358-4000
Fax Number
person
Provider Business Mailing Address Details
Address
4502 Medical Dr
City
State
Zip
78229-4402
Phone Number
210-358-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA-9102714 (Florida)
Definition
Definition to come...
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