Doctor Name: | CATHY DARLENE COTTON |
NPI Number: | 1023091592 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 614719 |
Business Practice Address: | 3851 Roger Brooke Dr Mche-qd (credentials) Fort Sam Houston, TX - 782344501 |
Business Phone Number: | 2109162460 |
Business Fax Number: | |
Mailing Address: | 16465 Henderson Pass, 414 SAN ANTONIO |
State: | TX |
Postal Code: | 782323216 |
Phone Number: | 2105737995 |
Fax Number: | |
NPI Enumeration Date: | 11/29/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 614719 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |