Provider Demographics
NPI:1356455356
Name:CATHEY, GEORGE V JR (MD)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:V
Last Name:CATHEY
Suffix:JR
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 1417
Mailing Address - Street 2:
Mailing Address - City:QUITMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75783
Mailing Address - Country:US
Mailing Address - Phone:903-763-2224
Mailing Address - Fax:903-763-2926
Practice Address - Street 1:117 N WINNSBORO ST
Practice Address - Street 2:
Practice Address - City:QUITMAN
Practice Address - State:TX
Practice Address - Zip Code:75783
Practice Address - Country:US
Practice Address - Phone:903-763-2224
Practice Address - Fax:903-763-2926
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG3221207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX138673202Medicaid
84320NMedicare ID - Type Unspecified
TX138673202Medicaid