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NPI Code Detail

MEDICARE: CATHY VENEGAS CERDA

MEDICARE:   CATHY VENEGAS CERDA
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
1225100000XPhysical Therapist1281032TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710432513
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHY VENEGAS CERDA
Provider Business Mailing Address
First Line : 7824 LANDERS LN
Second Line :
City : FORT WORTH
State : TX
Zip : 76135-9007
Country : US
Telephone Number : 214-587-4994
Fax Number :
Provider Business Practice Location Address
First Line : 7824 LANDERS LN
Second Line :
City : FORT WORTH
State : TX
Zip : 76135-9007
Country : US
Telephone Number : 214-587-4994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2016
Last Update Date : 04/28/2023

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Directions to “ CATHY VENEGAS CERDA ” Practice Location

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