Provider Demographics
NPI:1871797605
Name:MICHAEL E CADENA DO PA
Entity type:Organization
Organization Name:MICHAEL E CADENA DO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:CADENA
Authorized Official - Suffix:
Authorized Official - Credentials:DO PA
Authorized Official - Phone:936-291-2510
Mailing Address - Street 1:260 INTERSTATE 45 S STE C
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77340-4968
Mailing Address - Country:US
Mailing Address - Phone:936-291-2510
Mailing Address - Fax:936-291-2406
Practice Address - Street 1:260 INTERSTATE 45 S STE C
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77340-4968
Practice Address - Country:US
Practice Address - Phone:936-291-2510
Practice Address - Fax:936-291-2406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-14
Last Update Date:2008-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2226207V00000X, 207VG0400X, 207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0008NAOtherBLUECROSS BLUESHIELD
TX179574201Medicaid
TX179574201Medicaid
TX00W167Medicare PIN