Healthcare Provider Details
I. General information
NPI: 1003829953
Provider Name (Legal Business Name): CATON EMERGENCY PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/14/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
900 CATON AVE MAILSTOP 134
BALTIMORE MD
21229-5201
US
IV. Provider business mailing address
1717 MAIN ST SUITE 5200
DALLAS TX
75201-4612
US
V. Phone/Fax
- Phone: 410-368-2000
- Fax:
- Phone: 800-247-8060
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JAMES
MURPHY
Title or Position: EXECUTIVE VICE PRESIDENT
Credential:
Phone: 800-527-2145