Provider Demographics
NPI:1942654462
Name:CATES, DAMON A (PA)
Entity Type:Individual
Prefix:
First Name:DAMON
Middle Name:A
Last Name:CATES
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:12201 SHALE DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76244-7524
Mailing Address - Country:US
Mailing Address - Phone:239-287-8100
Mailing Address - Fax:
Practice Address - Street 1:FMC CARSWELL
Practice Address - Street 2:J ST BLDG 3000
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76127
Practice Address - Country:US
Practice Address - Phone:817-782-4710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-21
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical