Provider Demographics
NPI:1215760194
Name:BYNUM, CATHERINE J (NP)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:J
Last Name:BYNUM
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:JOYCE
Other - Last Name:BYNUM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NATUROPATH
Mailing Address - Street 1:203 COUNTY ROAD 3023
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75633-4139
Mailing Address - Country:US
Mailing Address - Phone:903-690-2749
Mailing Address - Fax:
Practice Address - Street 1:203 COUNTY ROAD 3023
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:TX
Practice Address - Zip Code:75633-4139
Practice Address - Country:US
Practice Address - Phone:903-690-2749
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath