Organization
REMEDIOS R. CABANSAG , MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REMEDIOS R. CABANSAG MD (PRESIDENT,VICE PRESIDENT,SEC/TREAS)
(817) 551-2963
Entity
Organization
Contact information
Practice address
11803 SO. FREEWAY, SUITE 254, FORT WORTH, TX 76115-0337
(817) 551-2963
(817) 568-1663
Mailing address
11803 SO. FREEWAY, SUITE 254, FORT WORTH, TX 76115-0337
(817) 551-2963
(817) 568-1663
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D9958
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114071701
—
TX
Enumeration date
01/15/2010
Last updated
01/15/2010
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