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:
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Health care specialties

SpecialtyCodeLicense #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 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992814495 NPPES
Texas MEDICAID 096892705

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