Provider Demographics
NPI:1942526785
Name:O'CONNOR, CATHERINE (DNP,PMHNP-BC, FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:
Last Name:O'CONNOR
Suffix:
Gender:F
Credentials:DNP,PMHNP-BC, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:729 N FIELDER RD STE A
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-4664
Mailing Address - Country:US
Mailing Address - Phone:817-633-3400
Mailing Address - Fax:817-633-3401
Practice Address - Street 1:729 N FIELDER RD STE A
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-4664
Practice Address - Country:US
Practice Address - Phone:817-633-3400
Practice Address - Fax:817-633-3401
Is Sole Proprietor?:No
Enumeration Date:2010-04-19
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP121659363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX319896201Medicaid
264170YMKGMedicare PIN