1295125391 NPI number — DR. MELINDA RICHARDS CATCHING PH.D.

Table of content: DR. MELINDA RICHARDS CATCHING PH.D. (NPI 1295125391)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295125391 NPI number — DR. MELINDA RICHARDS CATCHING PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CATCHING
Provider First Name:
MELINDA
Provider Middle Name:
RICHARDS
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1295125391
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/23/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2016 COUNTY ROAD 412
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LEXINGTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78947-4911
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
979-716-8185
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
123 WEST CAMERON AVE.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROCKDALE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76567
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-446-2559
Provider Business Practice Location Address Fax Number:
512-446-0243
Provider Enumeration Date:
01/27/2015

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  100815 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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