Individual
DR. KATHLEEN H. EBERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10905 MEMORIAL HERMANN DR, STE 115, PEARLAND, TX 77584-3490
(713) 947-3100
(713) 704-1796
Mailing address
4141 VISTA RD, PASADENA, TX 77504-2113
(713) 947-3100
(713) 947-6103
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
L1025
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00106W
MEDICARE GROUP PTAN - HARRIS
TX
01
—
0035TD
BLUE CROSS BLUE SHIELD OF TEXAS GROUP RECORD NUMBER
TX
01
—
00X185
MEDICARE GROUP PTAN - BRAZORIA
TX
01
—
153449704
MEDICAID GROUP TPI
TX
01
—
8DC609
BLUE CROSS BLUE SHIELD INDIVIDUAL RECORD NUMBER
TX
01
—
DB6392
RAILROAD MEDICARE GROUP PTAN
—
Enumeration date
11/18/2005
Last updated
09/16/2024
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