Provider Demographics
NPI:1164859682
Name:SUMMERS, CATHY RENEE (FNP)
Entity Type:Individual
Prefix:MS
First Name:CATHY
Middle Name:RENEE
Last Name:SUMMERS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10900 JONES RD
Mailing Address - Street 2:STE. 2
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-5470
Mailing Address - Country:US
Mailing Address - Phone:512-791-7819
Mailing Address - Fax:
Practice Address - Street 1:10900 JONES RD
Practice Address - Street 2:STE. 2
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-5470
Practice Address - Country:US
Practice Address - Phone:832-237-1500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-29
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP123622363LF0000X
TX750370363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily