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NPI Code Detail

MEDICARE: MS. CATHERINE AVERY STEPHAN PA

MEDICARE: MS. CATHERINE AVERY STEPHAN PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantTX

General Provider Information

NPI Number : 1194676544
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CATHERINE AVERY STEPHAN PA
Provider Business Mailing Address
First Line : 5656 KELLEY ST
Second Line :
City : HOUSTON
State : TX
Zip : 77026-1967
Country : US
Telephone Number : 713-566-5100
Fax Number :
Provider Business Practice Location Address
First Line : 5656 KELLEY ST
Second Line :
City : HOUSTON
State : TX
Zip : 77026-1967
Country : US
Telephone Number : 713-566-5100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2026
Last Update Date : 02/03/2026

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Directions to “ MS. CATHERINE AVERY STEPHAN PA” Practice Location

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