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General NPI Number Information
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NPI Number | 1356392187
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Entity Type | Individual
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Provider Name | CATHERYNE MCCALLA ZAVODNY M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 07/02/2008
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Provider Practice Location Address
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Address Line | 3900 WEST 15TH ST, #404
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City | PLANO
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State | TX
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Zip | 75075-4730
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Country | US
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Telephone | 972-596-1803
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Fax | 972-867-4970
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Provider Business Mailing Address
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Address Line | 3900 WEST 15TH ST, #404
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City | PLANO
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State | TX
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Zip | 75075-4730
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Country | US
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Telephone | 972-596-1803
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Fax | 972-867-4970
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | K7820
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License Number State | TX
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