MEDICARE: DR. CATHERINE DYER STEVENSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	L7198	TX

General Provider Information

NPI Number	:	1063625994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CATHERINE DYER STEVENSON MD

Provider Business Mailing Address
First Line	:	1323 ARTHUR ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77019-5201
Country	:	US
Telephone Number	:	713-248-0405
Fax Number	:	713-526-3363

Provider Business Practice Location Address
First Line	:	1323 ARTHUR ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77019-5201
Country	:	US
Telephone Number	:	713-248-0405
Fax Number	:	800-863-0263

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	08/18/2020

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