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NPI Code Detail

MEDICARE: CATHERINE M BREEN PA-C

MEDICARE: CATHERINE M BREEN PA-C
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
1225100000XPhysical TherapistPT-07350OH
2225100000XPhysical Therapist5501002328MI
3363AM0700XMedical Physician AssistantTX
4363A00000XPhysician AssistantPA09030TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922179266
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE M BREEN PA-C
Provider Business Mailing Address
First Line : 101 W LOUIS HENNA BLVD STE 300
Second Line :
City : AUSTIN
State : TX
Zip : 78728-1203
Country : US
Telephone Number : 512-492-3743
Fax Number : 512-593-4444
Provider Business Practice Location Address
First Line : 7307 CREEKBLUFF DR
Second Line :
City : AUSTIN
State : TX
Zip : 78750-8203
Country : US
Telephone Number : 512-244-4272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2006
Last Update Date : 08/16/2022

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Directions to “ CATHERINE M BREEN PA-C” Practice Location

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