Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | H3602 | TX |
Y | 208600000X | Surgeon | H3602 | TX |
N | 2086X0206X | Surgical Oncologist | H3602 | TX |
NPI | 1013970763 |
---|---|
Provider Name | Catherine Ann Ronaghan |
First Address | Lubbock, TX 79430-8312 |
Second Address | Lubbock, TX 79410-1430 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2006 |
Last Update Date | 05/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
084586901 | (05) | TX |