Cavanaugh, Regina Kristine
Cavanaugh, Regina Kristine is an individual health care provider with primary practice located at 36065 Sante Fe Ave , Fort Hood TX 76544-4752. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Cavanaugh, Regina Kristine can be contacted via phone (254) 286-7079.Contact Information
Primary practice address
36065 Sante Fe Ave
Fort Hood TX 76544-4752
Phone: (254) 286-7079
Fax: (254) 286-7629
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | J4031 | Texas |
Profile Details
| NPI number | 1992814495 |
|---|---|
| LBN Legal business name | Cavanaugh, Regina Kristine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Nov 10th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992814495 | NPPES |
| Texas | MEDICAID | 096892705 |
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