Provider Demographics
NPI:1275884884
Name:BRIAN L. CABIN, MD, PC
Entity Type:Organization
Organization Name:BRIAN L. CABIN, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:CABIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-319-2810
Mailing Address - Street 1:772 N COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-4535
Mailing Address - Country:US
Mailing Address - Phone:520-319-2810
Mailing Address - Fax:520-319-2814
Practice Address - Street 1:772 N COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-4535
Practice Address - Country:US
Practice Address - Phone:520-319-2810
Practice Address - Fax:520-319-2814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-21
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No175L00000XOther Service ProvidersHomeopathGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
D43756Medicare UPIN