Individual
KATHLEEN FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1709 DRYDEN RD, SUITE 1700, HOUSTON, TX 77030-2400
(713) 798-7356
(713) 798-6374
Mailing address
1709 DRYDEN RD, SUITE 1700, HOUSTON, TX 77030-2400
(713) 798-7356
(713) 798-6374
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
22957
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126126502
—
TX
01
—
430027394
RAILROAD - MEDICARE
TX
01
—
88625C
IN HARRIS - MEDICARE
TX
01
—
88625C
TX-BLUE SHIELD
—
Enumeration date
01/09/2007
Last updated
08/18/2011
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