| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CADE GAVIN MCDONALD | 1861957227 | 2022-05-08 |
Cade Gavin Mcdonald is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1861957227. Registration indicates Cade Gavin Mcdonald is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) (Allopathic & Osteopathic Physicians, Physical Medicine & Rehabilitation) (Physical Medicine & Rehabilitation: Sports Medicine, ) (Specialist Network, ) (Physical Medicine & Rehabilitation Sports Medicine, Allopathic & Osteopathic Physicians) (Physical Medicine & Rehabilitation, )
| Entity Type | Individual |
| Provider Name | Cade Gavin Mcdonald MAT, LAT, ATC |
| Practice Office Address | 1000 W COURT ST SEGUIN, TX US |
| Practice Office Telephone | 5128261841 |
| Mailing Address | 6623 ARID WAY SAN ANTONIO, TX 782524477 US |
| Business Telephone | 5128261841 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 2725 Linville Ridge Ln | Pflugerville, TX 786605276 | 5128261841 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 2081S0010X PRIMARY | Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation Physical Medicine & Rehabilitation: Sports Medicine Specialist Network Physical Medicine & Rehabilitation Sports Medicine Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation | AT8650
TX |