Individual
KATHERINE TBABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1411 N BECKLEY AVE STE 366, DALLAS, TX 75203-1592
(214) 941-2777
(214) 941-2929
Mailing address
401 N MICHIGAN AVE STE 1200, CHICAGO, IL 60611-4264
(800) 858-1113
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
870666
TX
363LP0200X
Pediatric Nurse Practitioner
1027765
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1027765
TX
Other
Enumeration date
08/03/2022
Last updated
04/24/2026
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