Individual
CATHERINE MIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPO
Contact information
Practice address
1220 COIT RD, SUITE 102, PLANO, TX 75075-7757
(972) 769-8344
(972) 769-0644
Mailing address
1220 COIT RD, SUITE 102, PLANO, TX 75075-7757
(972) 769-8344
(972) 769-0644
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
63
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110686-01
—
TX
01
—
1276950002
MEDICARE PTAN
TX
Enumeration date
12/02/2014
Last updated
12/02/2014
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