Provider Demographics
NPI:1578675898
Name:BRODOWS, CATHERINE Y (DC)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:Y
Last Name:BRODOWS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:YALOF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2606 HARWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021
Mailing Address - Country:US
Mailing Address - Phone:817-540-1500
Mailing Address - Fax:817-571-6900
Practice Address - Street 1:2606 HARWOOD RD
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021
Practice Address - Country:US
Practice Address - Phone:817-540-1500
Practice Address - Fax:817-571-6900
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7392111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX609014Medicare PIN
CTD400120042Medicare PIN
U68505Medicare UPIN