Individual
MRS. KATERRA IONE PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A-GNP-C
Contact information
Practice address
110 E MEDICAL CENTER BLVD, WEBSTER, TX 77598-4301
(832) 224-9500
Mailing address
18333 EGRET BAY BLVD STE 140, HOUSTON, TX 77058-3239
(281) 332-3001
(281) 332-3005
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1106654
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
454016301
—
TX
05
—
454016302
—
TX
01
—
8TL748
BCBSTX
TX
Enumeration date
01/12/2023
Last updated
12/13/2023
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