Provider Demographics
NPI:1902268345
Name:CADUCEUS SOLUTIONS, PLLC
Entity Type:Organization
Organization Name:CADUCEUS SOLUTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:BASKERVILLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:254-774-1880
Mailing Address - Street 1:4500 FRANKLIN RD
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:TX
Mailing Address - Zip Code:76579-3500
Mailing Address - Country:US
Mailing Address - Phone:254-718-3142
Mailing Address - Fax:206-339-8755
Practice Address - Street 1:2003 W AVENUE H
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-5256
Practice Address - Country:US
Practice Address - Phone:254-774-1880
Practice Address - Fax:206-339-8755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-24
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty