MEDICARE: KATIE VO

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	363A00000X	Physician Assistant		TX

General Provider Information

NPI Number	:	1861729147
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIE VO

Provider Business Mailing Address
First Line	:	6601 VAUGHT RANCH RD STE 200
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78730-2309
Country	:	US
Telephone Number	:	972-712-3131
Fax Number	:

Provider Business Practice Location Address
First Line	:	9191 KYSER WAY BLDG 3
Second Line	:	SUITE B
City	:	FRISCO
State	:	TX
Zip	:	75034-1953
Country	:	US
Telephone Number	:	972-712-3131
Fax Number	:

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

Provider Enumeration Date	:	11/08/2009
Last Update Date	:	03/18/2021

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Directions to “ KATIE VO ” Practice Location

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