Healthcare Provider Details

I. General information

NPI: 1912283870
Provider Name (Legal Business Name): KATHERINE BELL LOVERIN P.A.-C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. KATHERINE ALLISON BELL

II. Dates (important events)

Enumeration Date: 10/24/2011
Last Update Date: 02/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7401 S. MAIN
HOUSTON TX
77030
US

IV. Provider business mailing address

4046 TARTAN LN
HOUSTON TX
77025-2919
US

V. Phone/Fax

Practice location:
  • Phone: 713-799-2300
  • Fax: 713-794-3395
Mailing address:
  • Phone: 713-799-2300
  • Fax: 713-794-3395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number2023
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA07249
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number2023
License Number StateOK
# 4
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA07249
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number2023
License Number StateOK
# 6
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA07249
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: