Provider Demographics
NPI:1639882533
Name:TORMA, CATHERINE (CCP)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:TORMA
Suffix:
Gender:F
Credentials:CCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6085 WATER ST APT 2137
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-0093
Mailing Address - Country:US
Mailing Address - Phone:765-744-3434
Mailing Address - Fax:
Practice Address - Street 1:6085 WATER ST APT 2137
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-0093
Practice Address - Country:US
Practice Address - Phone:765-744-3434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-05
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX139107208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
63424OtherHEALTH PARTNERS