| Catheryne M. Zavodny, M.d., P.a. | |
|
3900 W 15th St Ste 404 Plano TX 75075-4730 | |
| (972) 596-1803 | |
| (972) 867-4970 |
| Full Name | Catheryne M. Zavodny, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3900 W 15th St Ste 404, Plano, Texas |
| Authorized Official Name and Position | Catheryne M Zavodny (PRESIDENT) |
| Authorized Official Contact | 9725961803 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catheryne M. Zavodny, M.d., P.a. 3900 W 15th St Ste 404 Plano TX 75075-4730 Ph: (972) 596-1803 | Catheryne M. Zavodny, M.d., P.a. 3900 W 15th St Ste 404 Plano TX 75075-4730 Ph: (972) 596-1803 |
| NPI Number | 1366626871 |
|---|---|
| Provider Enumeration Date | 12/19/2007 |
| Last Update Date | 07/02/2008 |
| Medicare PECOS PAC ID | 6103995758 |
|---|---|
| Medicare Enrollment ID | O20080521000879 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366626871 | NPI | - | NPPES |
| 1366626871 | Other | TX | NPI GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K7820 (Texas) | Primary |
| Provider Name | Catheryne M Zavodny |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356392187 PECOS PAC ID: 7911083241 Enrollment ID: I20080408000844 |
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