Healthcare Provider Details

I. General information

NPI: 1356455356
Provider Name (Legal Business Name): GEORGE V CATHEY JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 03/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 N WINNSBORO ST
QUITMAN TX
75783
US

IV. Provider business mailing address

PO BOX 1417
QUITMAN TX
75783
US

V. Phone/Fax

Practice location:
  • Phone: 903-763-2224
  • Fax: 903-763-2926
Mailing address:
  • Phone: 903-763-2224
  • Fax: 903-763-2926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberG3221
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: