MEDICARE: DR. KATHRYN A HALE MD

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	J4842	TX

General Provider Information

NPI Number	:	1598001034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHRYN A HALE MD

Provider Business Mailing Address
First Line	:	8121 BROADWAY
Second Line	:	STE 103
City	:	HOUSTON
State	:	TX
Zip	:	77061
Country	:	US
Telephone Number	:	713-900-2750
Fax Number	:	713-900-2751

Provider Business Practice Location Address
First Line	:	8121 BROADWAY
Second Line	:	STE 103
City	:	HOUSTON
State	:	TX
Zip	:	77061
Country	:	US
Telephone Number	:	713-900-2750
Fax Number	:	713-900-2751

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2013
Last Update Date	:	01/18/2026

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