Healthcare Provider Details

I. General information

NPI: 1831806454
Provider Name (Legal Business Name): ANNA KATHRYN MCAFEE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2022
Last Update Date: 11/02/2022
Certification Date: 11/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1034 LIBERTY PARK DR
AUSTIN TX
78746-6891
US

IV. Provider business mailing address

311 S FRONTIER LN
CEDAR PARK TX
78613-7381
US

V. Phone/Fax

Practice location:
  • Phone: 512-328-3775
  • Fax:
Mailing address:
  • Phone: 713-401-4359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number217643
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: