Provider Demographics
NPI:1528509924
Name:CADWELL, CATHRYN RENE (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:CATHRYN
Middle Name:RENE
Last Name:CADWELL
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6301 ALMEDA RD APT 1013
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77021-1089
Mailing Address - Country:US
Mailing Address - Phone:254-366-7947
Mailing Address - Fax:
Practice Address - Street 1:6301 ALMEDA RD APT 1013
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77021-1089
Practice Address - Country:US
Practice Address - Phone:254-366-7947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-17
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program