MEDICARE: MRS. KATHRYN MARIE LANDHERR M.D.

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
1	207V00000X	Obstetrics & Gynecology Physician	P6206	TX

General Provider Information

NPI Number	:	1144203431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHRYN MARIE LANDHERR M.D.

Provider Business Mailing Address
First Line	:	12200 RENFERT WAY
Second Line	:	SUITE 100
City	:	AUSTIN
State	:	TX
Zip	:	78758-5654
Country	:	US
Telephone Number	:	512-451-8211
Fax Number	:	512-452-4095

Provider Business Practice Location Address
First Line	:	12200 RENFERT WAY STE 100
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78758-5654
Country	:	US
Telephone Number	:	512-451-8211
Fax Number	:	512-495-4095

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2005
Last Update Date	:	10/13/2022

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