MEDICARE: KATHRYN SOLCHER MASTERS PA-C

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
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1578952396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN SOLCHER MASTERS PA-C

Provider Business Mailing Address
First Line	:	2225 MIMOSA DR APT 6
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77019-5632
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2225 MIMOSA DR APT 6
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77019-5632
Country	:	US
Telephone Number	:	979-324-5029
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2015
Last Update Date	:	08/26/2015

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