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NPI Code Detail

MEDICARE: CATHERINE O'KRAFKA M.D.

MEDICARE:   CATHERINE  O'KRAFKA  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
1207Q00000XFamily Medicine PhysicianT2703TX

General Provider Information

NPI Number : 1336502608
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE O'KRAFKA M.D.
Provider Business Mailing Address
First Line : 1500 UNIVERSITY DR E STE 100
Second Line :
City : COLLEGE STATION
State : TX
Zip : 77840-2600
Country : US
Telephone Number : 979-383-2340
Fax Number :
Provider Business Practice Location Address
First Line : 709 BARTON ST
Second Line :
City : HEARNE
State : TX
Zip : 77859-3009
Country : US
Telephone Number : 979-279-3451
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2016
Last Update Date : 04/25/2022

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Directions to “ CATHERINE O'KRAFKA M.D.” Practice Location

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