Healthcare Provider Details

I. General information

NPI: 1750320511
Provider Name (Legal Business Name): JEFFREY FRANCIS CATTORINI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 12/30/2020
Certification Date: 12/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5425 W SPRING CREEK PKWY SUITE 133
PLANO TX
75024-4236
US

IV. Provider business mailing address

5425 W SPRING CREEK PKWY STE 133
PLANO TX
75024-4334
US

V. Phone/Fax

Practice location:
  • Phone: 972-535-2170
  • Fax: 972-535-2180
Mailing address:
  • Phone: 972-535-2170
  • Fax: 972-535-2180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberK3122
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberK3122
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: