Provider Demographics
NPI:1356583835
Name:CUMMINGS, CATHERINE MARIE (DC, LAC, FNP)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:MARIE
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:DC, LAC, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5724
Mailing Address - Street 2:
Mailing Address - City:VALLEY SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:76885-5724
Mailing Address - Country:US
Mailing Address - Phone:325-423-1621
Mailing Address - Fax:325-248-0720
Practice Address - Street 1:6552 CR 403
Practice Address - Street 2:
Practice Address - City:VALLEY SPRING
Practice Address - State:TX
Practice Address - Zip Code:76885
Practice Address - Country:US
Practice Address - Phone:325-423-1621
Practice Address - Fax:325-328-0720
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-31
Last Update Date:2016-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10379111N00000X
TX132713363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No111N00000XChiropractic ProvidersChiropractor