MEDICARE: JADE CAHILL PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA17729	TX

General Provider Information

NPI Number	:	1851157598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JADE CAHILL PA-C

Provider Business Mailing Address
First Line	:	10312 THISTLE MOSS CV
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78739-1443
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	164 BELTERRA VILLAGE WAY
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78737-4794
Country	:	US
Telephone Number	:	512-610-3376
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2024
Last Update Date	:	02/21/2024

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Directions to “ JADE CAHILL PA-C” Practice Location

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