Healthcare Provider Details

I. General information

NPI: 1871029322
Provider Name (Legal Business Name): KATIE L HEPFER PNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2017
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 SCOTT AND WHITE DR
COLLEGE STATION TX
77845-6440
US

IV. Provider business mailing address

PO BOX 844658
DALLAS TX
75284-4658
US

V. Phone/Fax

Practice location:
  • Phone: 979-207-4000
  • Fax:
Mailing address:
  • Phone: 800-994-0371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP132343
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: