Provider Demographics
NPI:1780996363
Name:CATHCART, GABRIA ANN (RN, NP-C)
Entity type:Individual
Prefix:MRS
First Name:GABRIA
Middle Name:ANN
Last Name:CATHCART
Suffix:
Gender:F
Credentials:RN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13590 RR 12
Mailing Address - Street 2:
Mailing Address - City:WIMBERLEY
Mailing Address - State:TX
Mailing Address - Zip Code:78676-5305
Mailing Address - Country:US
Mailing Address - Phone:512-887-1817
Mailing Address - Fax:512-309-7025
Practice Address - Street 1:13590 RR 12
Practice Address - Street 2:
Practice Address - City:WIMBERLEY
Practice Address - State:TX
Practice Address - Zip Code:78676-5305
Practice Address - Country:US
Practice Address - Phone:512-887-1817
Practice Address - Fax:512-309-7025
Is Sole Proprietor?:No
Enumeration Date:2010-07-12
Last Update Date:2023-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX684594363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8414NKOtherBCBS
TX219598401Medicaid
TX219598402Medicaid
TX8414NKOtherBCBS
TXTXB119122Medicare PIN
TX347451YU4RMedicare PIN
TX8414NKOtherBCBS
TX219598402Medicaid