MEDICARE: KATY SA SERVICES, INC

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	174400000X	Specialist

General Provider Information

NPI Number	:	1427462894
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KATY SA SERVICES, INC

Provider Business Mailing Address
First Line	:	7324 SOUTH WEST FREEWAY
Second Line	:	1550
City	:	HOUSTON
State	:	TX
Zip	:	77074-2053
Country	:	US
Telephone Number	:	713-779-9800
Fax Number	:

Provider Business Practice Location Address
First Line	:	7324 SOUTH WEST FREEWAY
Second Line	:	1550
City	:	HOUSTON
State	:	TX
Zip	:	77074-2053
Country	:	US
Telephone Number	:	713-779-9800
Fax Number	:	713-779-9862

Authorized Official
Title or Position	:	CFO
Name	:	DAVID RICHARDSON
Credential	:
Telephone Number	:	713-779-9800

Provider Enumeration Date	:	06/13/2014
Last Update Date	:	06/13/2014

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Directions to “KATY SA SERVICES, INC ” Practice Location

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