Healthcare Provider Details

I. General information

NPI: 1942284542
Provider Name (Legal Business Name): REMIGIO G. CAPATI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2005
Last Update Date: 10/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 N BRITAIN RD IRVING HEALTH CENTER
IRVING TX
75061-2630
US

IV. Provider business mailing address

PO BOX 660599
DALLAS TX
75266-0599
US

V. Phone/Fax

Practice location:
  • Phone: 214-266-3000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberJ5220
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: