Cowan, Catherine Eliska
Cowan, Catherine Eliska is an individual health care provider with primary practice located at 1001 12Th Ave Ste 160 , Fort Worth TX 76104-3926. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cowan, Catherine Eliska can be contacted via phone (817) 336-1189.Contact Information
Primary practice address
1001 12Th Ave Ste 160
Fort Worth TX 76104-3926
Phone: (817) 336-1189
Fax: (817) 877-5665
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 533006 | Texas |
Profile Details
| NPI number | 1154326577 |
|---|---|
| LBN Legal business name | Cowan, Catherine Eliska |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Dec 27th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154326577 | NPPES |
| Texas | MEDICAID | 162289602 | |
| Texas | MEDICAID | 162289605 | |
| Texas | MEDICAID | 162289603 | |
| Texas | MEDICAID | 162289606 |
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