Provider Demographics
NPI:1538449780
Name:CATLETT, BILLY EDWARD JR (FNP)
Entity type:Individual
Prefix:
First Name:BILLY
Middle Name:EDWARD
Last Name:CATLETT
Suffix:JR
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6716 SUMMIT RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:WATAUGA
Mailing Address - State:TX
Mailing Address - Zip Code:76148-2350
Mailing Address - Country:US
Mailing Address - Phone:918-774-2671
Mailing Address - Fax:
Practice Address - Street 1:6302 LAKE WORTH BLVD STE A
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:TX
Practice Address - Zip Code:76135-3607
Practice Address - Country:US
Practice Address - Phone:817-237-8273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-19
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX858311363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner