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NPI Code Detail

MEDICARE: KATHERINE C HAVER

MEDICARE: KATHERINE C HAVER
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1396692380
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE C HAVER
Provider Business Mailing Address
First Line : 1705 BAYOU SHORE DR
Second Line :
City : GALVESTON
State : TX
Zip : 77551-4334
Country : US
Telephone Number : 409-370-2669
Fax Number :
Provider Business Practice Location Address
First Line : 1705 BAYOU SHORE DR
Second Line :
City : GALVESTON
State : TX
Zip : 77551-4334
Country : US
Telephone Number : 409-370-2669
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

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Directions to “ KATHERINE C HAVER ” Practice Location

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