Provider Demographics
NPI:1750320511
Name:CATTORINI, JEFFREY FRANCIS (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:FRANCIS
Last Name:CATTORINI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5425 W SPRING CREEK PKWY STE 133
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-4334
Mailing Address - Country:US
Mailing Address - Phone:972-535-2170
Mailing Address - Fax:972-535-2180
Practice Address - Street 1:5425 W SPRING CREEK PKWY
Practice Address - Street 2:SUITE 133
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-4236
Practice Address - Country:US
Practice Address - Phone:972-535-2170
Practice Address - Fax:972-535-2180
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3122174400000X, 207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG57037Medicare UPIN
TX81922KMedicare ID - Type Unspecified