Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jeffrey David Cavanaugh, CCP

Individual provider Perfusionist · NPI 1265703474

Mr. Jeffrey David Cavanaugh, CCP is a Perfusionist in San Antonio, Texas. Practices as a sole proprietor. Licensed in Colorado and Texas.

Licensed in
CO, TX
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

3463 Magic Dr Ste T21
San Antonio, TX 78229-2973
Phone: (210) 614-8101
Fax: (210) 614-8102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Perfusionist (primary) Taxonomy 242T00000X · Licence PF1057 (TX)
Surgical Assistant Taxonomy 246ZC0007X · Licence 166637 (CO)

Record details

NPI number1265703474
Entity typeIndividual (Type 1)
GenderMale
Credentials CCP
Sole proprietorYes
NPI enumeratedJanuary 19, 2012
Last updated in NPPESJune 16, 2016

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