Provider Demographics
NPI:1598873457
Name:HOLSTER, CATHY J (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:CATHY
Middle Name:J
Last Name:HOLSTER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MISS
Other - First Name:CATHY
Other - Middle Name:J
Other - Last Name:LUEDEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:PO BOX 650865
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75265-0865
Mailing Address - Country:US
Mailing Address - Phone:972-715-5000
Mailing Address - Fax:
Practice Address - Street 1:7 INDEPENDENCE PT STE 300
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-4569
Practice Address - Country:US
Practice Address - Phone:864-522-3700
Practice Address - Fax:864-522-3705
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX794831367500000X
SC2809367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX216648002Medicaid
TX216648001Medicaid
TX8305UAOtherBCBS
SCAN1462Medicaid
TX216648002Medicaid
TX216648001Medicaid
TX8305UAOtherBCBS
Q63509Medicare UPIN