Healthcare Provider Details

I. General information

NPI: 1952373987
Provider Name (Legal Business Name): CATHERINE ZILINSKAS GIORDANO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATHERINE ZILINSKAS

II. Dates (important events)

Enumeration Date: 02/03/2006
Last Update Date: 10/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8288 S BROADWAY AVE
TYLER TX
75703-5262
US

IV. Provider business mailing address

PO BOX 846098
DALLAS TX
75284-6098
US

V. Phone/Fax

Practice location:
  • Phone: 903-606-7060
  • Fax:
Mailing address:
  • Phone: 903-324-6450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number002185
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number788827
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: