Provider Demographics
NPI:1245508423
Name:MAX G CATES, MD PC
Entity type:Organization
Organization Name:MAX G CATES, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MAX
Authorized Official - Middle Name:G
Authorized Official - Last Name:CATES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-616-7070
Mailing Address - Street 1:220 SW 89TH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73139-8504
Mailing Address - Country:US
Mailing Address - Phone:405-616-7070
Mailing Address - Fax:405-609-2954
Practice Address - Street 1:220 SW 89TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-8504
Practice Address - Country:US
Practice Address - Phone:405-616-7070
Practice Address - Fax:405-609-2954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-02
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty