Individual
CATHERINE DAVENPORTPOLLOCK WAKEHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
329 VISTA DEL REY DR, EL PASO, TX 79912-4824
(915) 259-4735
Mailing address
PO BOX 700390, DEPT 0471, TULSA, OK 74170-0390
(254) 727-9193
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
P6746
TX
208100000X
Physical Medicine & Rehabilitation Physician
Primary
P6746
TX
Other
Enumeration date
05/06/2009
Last updated
11/25/2019
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