Provider Demographics
NPI:1669730230
Name:FRIESCH, CATHERINE CAROL (NP)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:CAROL
Last Name:FRIESCH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 WESTLAKE PKWY
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76262-8104
Mailing Address - Country:US
Mailing Address - Phone:682-388-1110
Mailing Address - Fax:
Practice Address - Street 1:2501 WESTLAKE PKWY
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:TX
Practice Address - Zip Code:76262-8104
Practice Address - Country:US
Practice Address - Phone:682-388-1110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-02
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16755363LA2100X
TX806718363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care