Healthcare Provider Details

I. General information

NPI: 1437133006
Provider Name (Legal Business Name): JOHN CADRAIN PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2005
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 GENERATIONS DR STE B
NEW BRAUNFELS TX
78130-0009
US

IV. Provider business mailing address

19141 STONE OAK PKWY STE 104
SAN ANTONIO TX
78258-3367
US

V. Phone/Fax

Practice location:
  • Phone: 830-264-8189
  • Fax: 210-314-4609
Mailing address:
  • Phone: 210-268-0129
  • Fax: 210-314-4609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA03274
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: