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Individual

DR. REMEDIOS R CABANSAG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11803 SO FREEWAX, SUITE 254, FORT WORTH, TX 76115
(817) 551-2963
(817) 568-1663
Mailing address
11803 SO FREEWAX, SUITE 254, FORT WORTH, TX 76115
(817) 551-2963
(817) 568-1663

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
D9958
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
P000B14Y8
TX
Enumeration date
03/22/2007
Last updated
07/08/2007
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