Individual provider Active NPI

Eric J Cavanagh, PAC

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1235215435
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
09270 Issued in TX
Practice address
12007 Alamo Ranch Pkwy Ste 124
San Antonio, TX 78253
Phone
(210) 757-3848
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2414 AZ
Physician Assistant 363A00000X 09270 TX Primary

Addresses

Primary practice location

12007 Alamo Ranch Pkwy Ste 124
San Antonio, TX 78253

Mailing address

PO Box 33173
San Antonio, TX 78265-3173
Phone (210) 890-8840

Other practice location 1

1200 N Bedell Ave
1
Del Rio, TX 78840-4491
Phone (830) 774-2505

Other identifiers 1

IdentifierTypeStateIssuer
870594MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150416002156 TX Practitioner - Physician Assistant 6507184884 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Track Urgent CareGroup PAC ID 5799005070, 41 clinicians

Practice addresses (Care Compare)

12007 Alamo Ranch Pkwy
Suite 124
San Antonio, TX 78253-4395
Phone (210) 405-0507

17910 Bulverde Rd
Suite 115
San Antonio, TX 78259-3762
Phone (210) 906-8478

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2414AZMDClinical Social Worker
09270TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Track Urgent Care - Bastrop Physician Assistant CurrentSince Jun 1, 2025 Accepting new patients
Val Verde Hospital Corporation CurrentSince May 5, 2017 Accepting new patients
Fast Track Urgent Care - Dripping Springs Physician Assistant Current Accepting new patients
Val Verde Hospital Corporation Current Accepting new patients
Val Verde Hospital Corporation Past Accepting new patients

Locations

1801 N Bedell Ave
Del Rio, TX 78840
Phone (830) 768-9200

801 N Bedell Ave
Del Rio, TX 78840
Phone (830) 703-1702

136 Drifting Wind Run
Ste 117
Dripping Springs, TX 78620
Phone (210) 906-8478

17910 Bulverde Rd
Ste 115
San Antonio, TX 78259
Phone (210) 906-8478

12007 Alamo Ranch Pkwy
Ste 124
San Antonio, TX 78253
Phone (210) 405-0507

9230 Potranco Rd
Ste 108
San Antonio, TX 78251
Phone (210) 481-4125

Interoperability endpoints

  • Direct secure messaging: ericcavanagh@valverde.medalliesdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1235215435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33173",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782653173",
            "telephone_number": "210-890-8840",
            "fax_number": "210-783-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12007 ALAMO RANCH PKWY STE 124",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78253",
            "telephone_number": "210-757-3848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N Bedell Ave",
            "address_2": "1",
            "address_purpose": "LOCATION",
            "city": "Del Rio",
            "state": "TX",
            "postal_code": "788404491",
            "country_code": "US",
            "telephone_number": "830-774-2505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAVANAGH",
        "first_name": "ERIC",
        "middle_name": "J",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2414",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "09270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870594",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.