Provider Demographics
NPI:1639153950
Name:MEHARY, CATHERINE AMY MILLER (CP,LP,BOCO)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:AMY MILLER
Last Name:MEHARY
Suffix:
Gender:F
Credentials:CP,LP,BOCO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5496 LA SIERRA DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4108
Mailing Address - Country:US
Mailing Address - Phone:214-265-5060
Mailing Address - Fax:214-265-9055
Practice Address - Street 1:5496 LA SIERRA DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4108
Practice Address - Country:US
Practice Address - Phone:214-265-5060
Practice Address - Fax:214-265-9055
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX340224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist