Healthcare Provider Details
I. General information
NPI: 1851787931
Provider Name (Legal Business Name): THOMAS DAVID CATRON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/15/2015
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1115B DOW ST
MURFREESBORO TN
37130-2487
US
IV. Provider business mailing address
ONE GI CREDENTIALING DEPARTMENT PO BOX 381468
GERMANTOWN TN
38183-1468
US
V. Phone/Fax
- Phone: 615-896-6996
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RG0100X |
| Taxonomy | Gastroenterology Physician |
| License Number | 68282 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: