Provider Demographics
NPI:1356392187
Name:ZAVODNY, CATHERYNE MCCALLA (MD)
Entity type:Individual
Prefix:DR
First Name:CATHERYNE
Middle Name:MCCALLA
Last Name:ZAVODNY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 WEST 15TH ST, #404
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-4730
Mailing Address - Country:US
Mailing Address - Phone:972-596-1803
Mailing Address - Fax:972-867-4970
Practice Address - Street 1:3900 WEST 15TH ST, #404
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-4730
Practice Address - Country:US
Practice Address - Phone:972-596-1803
Practice Address - Fax:972-867-4970
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7820207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1356392187OtherNPI INDIVIDUAL
TXH31856Medicare UPIN