Provider Demographics
NPI:1457109639
Name:CATALYST CARE PLLC
Entity type:Organization
Organization Name:CATALYST CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:BERRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:757-575-3227
Mailing Address - Street 1:10828 DESERT WILLOW LOOP
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-4027
Mailing Address - Country:US
Mailing Address - Phone:757-575-3227
Mailing Address - Fax:
Practice Address - Street 1:10828 DESERT WILLOW LOOP
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-4027
Practice Address - Country:US
Practice Address - Phone:757-575-3227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-11
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center