Provider Demographics
NPI:1154366417
Name:CATHER, JENNIFER CLAY (MD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:CLAY
Last Name:CATHER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9101 N CENTRAL EXPY STE 160
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-5951
Mailing Address - Country:US
Mailing Address - Phone:214-265-1818
Mailing Address - Fax:214-265-1806
Practice Address - Street 1:9101 N CENTRAL EXPY STE 160
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231
Practice Address - Country:US
Practice Address - Phone:214-265-1818
Practice Address - Fax:214-265-1806
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ9860207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8P9611OtherBCBS
H05820Medicare UPIN
TXP00285941Medicare PIN
TX8D7464Medicare PIN