Provider Demographics
NPI:1942284542
Name:CAPATI, REMIGIO G (MD)
Entity Type:Individual
Prefix:DR
First Name:REMIGIO
Middle Name:G
Last Name:CAPATI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 660599
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75266-0599
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1800 N BRITAIN RD
Practice Address - Street 2:IRVING HEALTH CENTER
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-2630
Practice Address - Country:US
Practice Address - Phone:214-266-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ5220208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX139374609Medicaid
TX139374607Medicaid
TX139374608Medicaid
TX139374612Medicaid
TX139374602Medicaid
TX139374604Medicaid
TX139374606Medicaid
TX139374614Medicaid
TX139374616Medicaid
TX139374618Medicaid
TX139374620Medicaid
TX144500902Medicaid
TX139374605Medicaid
TX139374613Medicaid
TX139374617Medicaid
TX89G965OtherBLUE CROSS BLUE SHIELD
TX139374601Medicaid
TX139374610Medicaid
TX139374619Medicaid
TX139374609Medicaid
TX139374619Medicaid