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NPI Code Detail

MEDICARE: KATHRYN ANNE HOMMINGA

MEDICARE: KATHRYN ANNE HOMMINGA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LN0000XNeonatal Nurse Practitioner972107TX

General Provider Information

NPI Number : 1124984281
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN ANNE HOMMINGA
Provider Business Mailing Address
First Line : 8910 TEICHMAN RD
Second Line :
City : GALVESTON
State : TX
Zip : 77554-9126
Country : US
Telephone Number : 409-457-7868
Fax Number :
Provider Business Practice Location Address
First Line : 7600 FANNIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77054-1906
Country : US
Telephone Number : 409-457-7868
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/01/2026
Last Update Date : 06/09/2026

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Directions to “ KATHRYN ANNE HOMMINGA ” Practice Location

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