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NPI Code Detail

MEDICARE: KATELYN DESIREE ALMARAZ

MEDICARE: KATELYN DESIREE ALMARAZ
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 Program42793TX

General Provider Information

NPI Number : 1417808643
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATELYN DESIREE ALMARAZ
Provider Business Mailing Address
First Line : 8600 N 620 RANCH ROAD
Second Line : 2437
City : AUSTIN
State : TX
Zip : 78726
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3750 GATTIS SCHOOL RD
Second Line :
City : ROUND ROCK
State : TX
Zip : 78664-4642
Country : US
Telephone Number : 512-341-3776
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2026
Last Update Date : 02/04/2026

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Directions to “ KATELYN DESIREE ALMARAZ ” Practice Location

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