Healthcare Provider Details

I. General information

NPI: 1497208920
Provider Name (Legal Business Name): CATHERINE MADU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2016
Last Update Date: 12/04/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 BEECHNUT ST
HOUSTON TX
77074-4335
US

IV. Provider business mailing address

EMSI HEALTH 3050 REGENT BLVD
IRVING TX
75063
US

V. Phone/Fax

Practice location:
  • Phone: 713-456-5000
  • Fax:
Mailing address:
  • Phone: 214-689-3600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP131575
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: