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General NPI Number Information
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NPI Number | 1154869337
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Entity Type | Organization
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Legal Business Name | CATA ASSISTANT SERVICES INC
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Dates
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Enumeration Date | 02/07/2017
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 4803 HACKAMORE BROOK CT
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City | KATY
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State | TX
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Zip | 77449-5377
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Country | US
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Telephone | 832-512-4011
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Fax |
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Provider Business Mailing Address
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Address Line | 4803 HACKAMORE BROOK CT
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City | KATY
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State | TX
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Zip | 77449-5377
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Country | US
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Telephone | 832-512-4011
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ALFONSO BRAVO
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Credential |
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Telephone | 832-512-4011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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