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Individual

KATHRYN M. AUTREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12174 N MOPAC EXPY STE A, AUSTIN, TX 78758-2910
(512) 994-2662
(512) 406-6202
Mailing address
2520 S TELSHOR BLVD, LAS CRUCES, NM 88011-4907
(575) 522-9793
(575) 532-9019

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
427
NM
367A00000X
Advanced Practice Midwife
Primary
AP129827
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
380935201
TX
05
380935202
TX
05
T8776
NM
Enumeration date
06/01/2005
Last updated
04/11/2018
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