Provider Demographics
NPI:1285069765
Name:MONK, CATHEY LOUISE (LVN)
Entity type:Individual
Prefix:
First Name:CATHEY
Middle Name:LOUISE
Last Name:MONK
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 TENAHA ST
Mailing Address - Street 2:STE 5
Mailing Address - City:CENTER
Mailing Address - State:TX
Mailing Address - Zip Code:75935
Mailing Address - Country:US
Mailing Address - Phone:936-598-6608
Mailing Address - Fax:936-598-6618
Practice Address - Street 1:1110 TENAHA ST
Practice Address - Street 2:STE 5
Practice Address - City:CENTER
Practice Address - State:TX
Practice Address - Zip Code:75935
Practice Address - Country:US
Practice Address - Phone:936-598-6608
Practice Address - Fax:936-598-6618
Is Sole Proprietor?:No
Enumeration Date:2013-09-04
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX218988164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse