Provider Demographics
NPI:1124338850
Name:DAVIS, CATHERINE NICOLE (AUD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:NICOLE
Last Name:DAVIS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1202 E SONTERRA BLVD STE 302
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4090
Mailing Address - Country:US
Mailing Address - Phone:210-334-0245
Mailing Address - Fax:210-334-0232
Practice Address - Street 1:1202 E SONTERRA BLVD STE 302
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4090
Practice Address - Country:US
Practice Address - Phone:210-334-0345
Practice Address - Fax:210-334-0232
Is Sole Proprietor?:No
Enumeration Date:2010-10-15
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80219231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80722AOtherBCBS-AENTC
TX80723AOtherBCBS-HCAENTC
TX80722AOtherBCBS-AENTC
TXTXB125856Medicare PIN