Provider Demographics
NPI:1740570746
Name:CAGNEY, DOUGLAS AQUINAS (PA-C)
Entity Type:Individual
Prefix:MR
First Name:DOUGLAS
Middle Name:AQUINAS
Last Name:CAGNEY
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 LAKEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76710-2966
Mailing Address - Country:US
Mailing Address - Phone:254-772-7037
Mailing Address - Fax:254-776-7188
Practice Address - Street 1:2403 E WACO DR
Practice Address - Street 2:
Practice Address - City:BELLMEAD
Practice Address - State:TX
Practice Address - Zip Code:76705-3259
Practice Address - Country:US
Practice Address - Phone:254-799-1799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-11
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA01520363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant