Healthcare Provider Details

I. General information

NPI: 1396738050
Provider Name (Legal Business Name): KATHERINE BROWNE BUCHANAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2005
Last Update Date: 03/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3701 KIRBY DR STE 600
HOUSTON TX
77098-3926
US

IV. Provider business mailing address

2 GREENWAY PLZ SUITE 900
HOUSTON TX
77046-0297
US

V. Phone/Fax

Practice location:
  • Phone: 713-798-4491
  • Fax:
Mailing address:
  • Phone: 713-798-1835
  • Fax: 713-798-1144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberM1540
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: