Active NPI
Remedios R. Cabansag , MD, PA
- Obstetrics & Gynecology Physician
- Fort Worth, TX
National Provider Identifier
1104157106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- D9958
- Legal business name
- REMEDIOS R. CABANSAG , MD, PA
- Practice address
- 11803 So. Freeway
Suite 254
Fort Worth, TX 76115-0337 - Phone
- (817) 551-2963
- Fax
- (817) 568-1663
- NPI assigned
- Jan 15, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Remedios R. Cabansag, MD
- Title
- President,Vice President,Sec/Treas
- Phone
- (817) 551-2963
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | D9958 | TX | Primary |
Addresses
Primary practice location
11803 So. Freeway
Suite 254
Fort Worth, TX 76115-0337
Mailing address
11803 So. Freeway
Suite 254
Fort Worth, TX 76115-0337
Phone (817) 551-2963
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114071701 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gynecology Physician
- Fort Worth, TX
- NPI 1396861209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263513600000",
"number": "1104157106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11803 SO. FREEWAY",
"address_2": "SUITE 254",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761150337",
"telephone_number": "817-551-2963",
"fax_number": "817-568-1663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11803 SO. FREEWAY",
"address_2": "SUITE 254",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761150337",
"telephone_number": "817-551-2963",
"fax_number": "817-568-1663"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REMEDIOS R. CABANSAG , MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-15",
"last_updated": "2010-01-15",
"status": "A",
"authorized_official_last_name": "CABANSAG",
"authorized_official_first_name": "REMEDIOS",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "PRESIDENT,VICE PRESIDENT,SEC/TREAS",
"authorized_official_telephone_number": "817-551-2963",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "D9958",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114071701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
- Reliant Home Health of Fort Worth LLC (Reliant at Home)
- Reliant Renal Care - Texas, LLC (RRC West Fort Worth)
- Reliant Renal Care-Texas, LLC
- Remarkable Healthcare of Fort Worth, LP (Remarkable Healthcare of Fort Worth)
- Bryana Dechal Remble
- Molly Grace Remondino, DO
- Renaissance Eyecare
- Renal Center of Keller, LLC (Renal Center of Keller)
- Andrew Duncan Renaud, D.C.
- Bailey Renaud, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.