Active NPI
Eric J Cavanagh, PAC
- Physician Assistant
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 09270
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 870594 | Medicaid | AZ |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2414 | AZ | MD | Clinical Social Worker |
| 09270 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Track Urgent Care - Bastrop | Physician Assistant | Current | Accepting new patients |
| Val Verde Hospital Corporation | Current | 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
- 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.
-
- Urgent Care Clinic/Center
- San Antonio, TX
- NPI 1497151237
-
- Certified Registered Nurse Anesthetist
- Del Rio, TX
- NPI 1639239239
-
- Urgent Care Clinic/Center
- Bastrop, TX
- NPI 1962193680
Physician Assistant
-
- Urgent Care Clinic/Center
- Dripping Springs, TX
- NPI 1588353130
Physician Assistant
-
- Rural Health Clinic/Center
- Del Rio, TX
- NPI 1093546590
-
- General Acute Care Hospital
- Del Rio, TX
- NPI 1104830900
-
- Rural Health Clinic/Center
- Del Rio, TX
- NPI 1891124640
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.