Provider Demographics
NPI:1750641866
Name:CNAG, INC
Entity Type:Organization
Organization Name:CNAG, INC
Other - Org Name:MEDICAL DOCTORS HOUSE CALLS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RENE
Authorized Official - Middle Name:
Authorized Official - Last Name:CASANOVA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:800-279-6330
Mailing Address - Street 1:PO BOX 267190
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-7190
Mailing Address - Country:US
Mailing Address - Phone:800-279-6330
Mailing Address - Fax:888-279-7904
Practice Address - Street 1:599 S FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:DANIA
Practice Address - State:FL
Practice Address - Zip Code:33004-4174
Practice Address - Country:US
Practice Address - Phone:800-279-6330
Practice Address - Fax:888-279-7904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-22
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty