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NPI Code Detail

MEDICARE: DR. DAVID CARLOS CADENA JR. M.D.

MEDICARE: DR. DAVID CARLOS CADENA JR. M.D.
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
1207Q00000XFamily Medicine PhysicianR6754TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2384912702OTHERTXCSHCN

General Provider Information

NPI Number : 1932595915
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID CARLOS CADENA JR. M.D.
Provider Business Mailing Address
First Line : 25723 OLD FREDERICKSBURG RD
Second Line :
City : BOERNE
State : TX
Zip : 78015-6605
Country : US
Telephone Number : 210-450-6800
Fax Number : 210-450-6894
Provider Business Practice Location Address
First Line : 25723 OLD FREDERICKSBURG RD
Second Line :
City : BOERNE
State : TX
Zip : 78015-6605
Country : US
Telephone Number : 210-450-6800
Fax Number : 210-450-6894
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2015
Last Update Date : 09/17/2024

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