Individual
CATHERINE SYLVIA FONTAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12700 HILLCREST RD, SUITE 260, DALLAS, TX 75230-2071
(214) 503-1336
Mailing address
4227 BENDWOOD LANE, DALLAS, TX 75287-2704
(214) 693-5466
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
J7485
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8G8569
BCBSTX
TX
01
—
J7485
LICENSE#
TX
Enumeration date
08/10/2006
Last updated
10/28/2008
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