# KATHERINE CORNFORTH MD - OBGYN PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770152712
- **Authorized official:** KATHERINE E CORNFORTH MD (OWNER)
- **Authorized official phone:** (210) 823-0853

## Contact information

- **Practice address:** 1007 NE LOOP 410 STE 110, SAN ANTONIO, TX 78209-1228
- **Practice address phone:** (210) 823-0853
- **Mailing address:** 105 ROUTT ST, SAN ANTONIO, TX 78209-4661

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/23/2021
- **Last updated:** 06/28/2024