Provider Demographics
NPI:1043898430
Name:CAVAGNARO-BARBA, NATALIA ASHELY (DO)
Entity Type:Individual
Prefix:
First Name:NATALIA
Middle Name:ASHELY
Last Name:CAVAGNARO-BARBA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:NATALIA
Other - Middle Name:ASHELY
Other - Last Name:CAVAGNARO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:2823 NW 18TH ST
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76106-5016
Mailing Address - Country:US
Mailing Address - Phone:512-529-5883
Mailing Address - Fax:
Practice Address - Street 1:22999 HIGHWAY 59 N
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-4412
Practice Address - Country:US
Practice Address - Phone:281-348-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-29
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program