Individual
LILLIAN WHITLEY CAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5001 EVIDENCE CV, SPICEWOOD, TX 78669
(855) 687-7237
(855) 673-9190
Mailing address
22100 BOTHELL EVERETT HWY, BOTHELL, WA 98021-8431
(208) 416-2932
(855) 673-9190
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101235711
VA
2085R0202X
Diagnostic Radiology Physician
M9063
ID
2085R0202X
Diagnostic Radiology Physician
Primary
N9181
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02873783
NY MEDICAL ASSISTANE
NY
05
—
101937034
—
PA
01
—
1019370340001
MEDICAL ASSISTANCE PA
PA
05
—
1019370340001
—
PA
01
—
1071683
WV WORKERS COMP
WV
01
—
1552459
AETHNA
PA
01
—
1563204
GATEWAY
PA
05
—
1664251
—
LA
05
—
192640401
—
TX
05
—
1952363913
—
VA
01
—
1963836
BLUE SHIELD
PA
01
—
219077
UNISON
PA
01
—
2746970
OH MEDICAL ASSISTANCE
OH
01
—
3323281
MEDICARE 855R
KY
01
—
3425381000
PASSPORT ADVANTAGE
KY
05
—
3810010472
—
VA
01
—
50017529
PASSPORT-KCR
KY
01
—
5W398CK23
MEDICARE 855R, 855I PTAN
LA
05
—
64130479
—
KY
05
—
7232314
—
VA
01
—
91717
SIHO-KCR
KY
01
—
P00403950
MEDICARE RAILROAD
VA
Enumeration date
04/05/2006
Last updated
12/05/2023
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