Healthcare Provider Details

I. General information

NPI: 1972711547
Provider Name (Legal Business Name): KATHERINE K MCKNIGHT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 12/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

929 GESSNER STE. 2300
HOUSTON TX
77024
US

IV. Provider business mailing address

929 GESSNER STE. 2300
HOUSTON TX
77024
US

V. Phone/Fax

Practice location:
  • Phone: 713-465-1211
  • Fax: 713-550-1475
Mailing address:
  • Phone: 713-465-1211
  • Fax: 713-550-1475

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number27826
License Number StateAL
# 3
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberP0637
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: