Healthcare Provider Details

I. General information

NPI: 1558622910
Provider Name (Legal Business Name): DAVID JOSEPH CAUTHON D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2012
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9150 HUEBNER RD STE 160
SAN ANTONIO TX
78240-1545
US

IV. Provider business mailing address

5825 CALLAGHAN RD STE 102
SAN ANTONIO TX
78228-1106
US

V. Phone/Fax

Practice location:
  • Phone: 210-561-7080
  • Fax: 210-561-7040
Mailing address:
  • Phone: 210-227-8700
  • Fax: 210-348-9130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number2153
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: