Provider Demographics
NPI:1063452621
Name:CATE, BAIN CHODOROV (MD)
Entity Type:Individual
Prefix:DR
First Name:BAIN
Middle Name:CHODOROV
Last Name:CATE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 512
Mailing Address - Street 2:
Mailing Address - City:INEZ
Mailing Address - State:TX
Mailing Address - Zip Code:77968-0512
Mailing Address - Country:US
Mailing Address - Phone:361-648-1546
Mailing Address - Fax:
Practice Address - Street 1:8181 OLD HIGHWAY RD
Practice Address - Street 2:
Practice Address - City:INEZ
Practice Address - State:TX
Practice Address - Zip Code:77968-0512
Practice Address - Country:US
Practice Address - Phone:361-648-1546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH0241207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXD05382Medicare UPIN