Provider Demographics
NPI:1609092980
Name:CATALINA, STEVEN MARC (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:MARC
Last Name:CATALINA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 S MAGNOLIA ST
Mailing Address - Street 2:
Mailing Address - City:HEARNE
Mailing Address - State:TX
Mailing Address - Zip Code:77859-2565
Mailing Address - Country:US
Mailing Address - Phone:979-279-3862
Mailing Address - Fax:979-279-9746
Practice Address - Street 1:104 S MAGNOLIA ST
Practice Address - Street 2:
Practice Address - City:HEARNE
Practice Address - State:TX
Practice Address - Zip Code:77859-2565
Practice Address - Country:US
Practice Address - Phone:979-279-3862
Practice Address - Fax:979-279-9746
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8281111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
01610372OtherMETRAHEALTH
606049OtherBLUE CROSS BLUE SHIELD
641816OtherUNITED HEALTHCARE (ACN)
01610372OtherMETRAHEALTH
609347Medicare ID - Type Unspecified