Provider Demographics
NPI:1366626871
Name:CATHERYNE M. ZAVODNY, M.D., P.A.
Entity Type:Organization
Organization Name:CATHERYNE M. ZAVODNY, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERYNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:ZAVODNY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-596-1803
Mailing Address - Street 1:3900 W 15TH ST STE 404
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-4730
Mailing Address - Country:US
Mailing Address - Phone:972-596-1803
Mailing Address - Fax:972-867-4970
Practice Address - Street 1:3900 W 15TH ST STE 404
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-4730
Practice Address - Country:US
Practice Address - Phone:972-596-1803
Practice Address - Fax:972-867-4970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-19
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7820207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1366626871OtherNPI GROUP
TX1366626871OtherNPI GROUP
TX00851MMedicare PIN