Provider Demographics
NPI:1740780709
Name:OJA, CATHY ANN
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:ANN
Last Name:OJA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 FLORAS RD
Mailing Address - Street 2:
Mailing Address - City:ALEDO
Mailing Address - State:TX
Mailing Address - Zip Code:76008-4838
Mailing Address - Country:US
Mailing Address - Phone:817-829-7823
Mailing Address - Fax:
Practice Address - Street 1:210 FLORAS RD
Practice Address - Street 2:
Practice Address - City:ALEDO
Practice Address - State:TX
Practice Address - Zip Code:76008-4838
Practice Address - Country:US
Practice Address - Phone:817-829-7823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-16
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX167807164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse