MEDICARE: DR. GEORGE KEITH CATHEY DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	D10784	TX

General Provider Information

NPI Number	:	1780740019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE KEITH CATHEY DDS

Provider Business Mailing Address
First Line	:	6609 BLANCO RD STE 215
Second Line	:	SUITE 215
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-6177
Country	:	US
Telephone Number	:	210-340-0781
Fax Number	:

Provider Business Practice Location Address
First Line	:	6609 BLANCO RD
Second Line	:	SUITE 215
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-6264
Country	:	US
Telephone Number	:	210-340-0781
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2006
Last Update Date	:	10/28/2015

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