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NPI Code Detail

MEDICARE: MRS. KATIE THURMAN P.A.-C

MEDICARE: MRS. KATIE THURMAN P.A.-C
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
1363A00000XPhysician Assistant05632TX

General Provider Information

NPI Number : 1447573571
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATIE THURMAN P.A.-C
Provider Business Mailing Address
First Line : 2236 N LOOP 336 W
Second Line :
City : CONROE
State : TX
Zip : 77304-3519
Country : US
Telephone Number : 936-441-2003
Fax Number : 281-494-4023
Provider Business Practice Location Address
First Line : 2236 N LOOP 336 W
Second Line :
City : CONROE
State : TX
Zip : 77304-3519
Country : US
Telephone Number : 936-441-2003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2010
Last Update Date : 05/02/2024

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Directions to “ MRS. KATIE THURMAN P.A.-C” Practice Location

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