Provider Demographics
NPI:1922337492
Name:CATA, DAMIAN JOHN (DC)
Entity Type:Individual
Prefix:DR
First Name:DAMIAN
Middle Name:JOHN
Last Name:CATA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3301 SOUTHERN BLVD SE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-2085
Mailing Address - Country:US
Mailing Address - Phone:505-891-2280
Mailing Address - Fax:505-891-2285
Practice Address - Street 1:3301 SOUTHERN BLVD SE
Practice Address - Street 2:SUITE 105
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124-2085
Practice Address - Country:US
Practice Address - Phone:505-891-2280
Practice Address - Fax:505-891-2285
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-13
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM1799111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor