Individual
KATHERINE ALISON SIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1301 WONDER WORLD DR, CENTRAL TEXAS MEDICAL CENTER, SAN MARCOS, TX 78666-7533
(512) 353-8979
(512) 753-3698
Mailing address
2105 GOODRICH AVE APT 6, AUSTIN, TX 78704-4087
(217) 840-6585
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
P1925
TX
390200000X
Student in an Organized Health Care Education/Training Program
157074
NC
Other
Enumeration date
05/28/2009
Last updated
03/05/2019
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