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1881503720 NPI number — REGINA CAVANAUGH, M.D., P.A.

NPI Number: 1881503720
Health Care Provider/Practitioner: REGINA CAVANAUGH, M.D., P.A.

Information about “1881503720” NPI (REGINA CAVANAUGH, M.D., P.A.) exists in 1881503720 in HTML format HTML  |  1881503720 in plain Text format TXT  |  1881503720 in PDF (Portable Document Format) PDF  |  1881503720 in an XML format XML  formats.

NPI Number : 1881503720 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881503720",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "REGINA CAVANAUGH, M.D., P.A.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2608 N MAIN ST STE B",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BELTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76513-1547",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "254-290-0432",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "13263 MARIGOLD TRL",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BELTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76513-6897",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "254-290-0432",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/04/2026",
    "LastUpdateDate": "09/04/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CAVANAUGH",
    "AuthorizedOfficialFirstName": "REGINA",
    "AuthorizedOfficialMiddleName": "KRISTINE",
    "AuthorizedOfficialTitle": "CEO/PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "254-290-0432",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2084P0804X",
        "TaxonomyName": "Child & Adolescent Psychiatry Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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