Organization Active NPI

Remedios R. Cabansag , MD, PA

  • Obstetrics & Gynecology Physician
  • Fort Worth, TX
National Provider Identifier
1104157106
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D9958 Issued in TX
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

Updated by the provider on Jan 15, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Remedios R. Cabansag, MDNPI 1396861209
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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
114071701MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.