Individual
KATHERINE R REBUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5222 BURNET RD, SUITE 200, AUSTIN, TX 78756-2430
(512) 459-9889
(512) 389-2935
Mailing address
1120 FIRST COLONIAL RD STE 100, VIRGINIA BEACH, VA 23454-2418
(757) 481-2333
(844) 245-8666
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA08141
TX
363AM0700X
Medical Physician Assistant
Primary
0110007778
VA
Other
Enumeration date
02/14/2013
Last updated
10/18/2021
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