Provider Demographics
NPI:1457706269
Name:MAVROUDIS, CATHERINE LANCASTER (MD)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:LANCASTER
Last Name:MAVROUDIS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:WALKER
Other - Last Name:LANCASTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1111 E CESAR CHAVEZ ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78702-4209
Mailing Address - Country:US
Mailing Address - Phone:512-978-9400
Mailing Address - Fax:
Practice Address - Street 1:2802 WEBBERVILLE RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78702-2947
Practice Address - Country:US
Practice Address - Phone:512-978-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-29
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXV5570208600000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery