Individual
CATHERINE M. REZENDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
12413 JUDSON RD, STE.120, LIVE OAK, TX 78233-3202
(210) 655-9965
(210) 655-9985
Mailing address
12413 JUDSON RD, STE.120, LIVE OAK, TX 78233-3202
(210) 655-9965
(210) 655-9985
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1289
TX
213ES0131X
Foot Surgery Podiatrist
1289
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1782880-01
—
TX
01
—
2596273
AETNA PROVIDER NUMBER
TX
01
—
8F7030
BCBS PROVIDER NUMBER
TX
Enumeration date
07/26/2006
Last updated
08/23/2016
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