Individual
MS. KATHRYN A MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
7777 FOREST LN STE D400, SUITE 301, DALLAS, TX 75230-6899
(972) 566-7790
(972) 566-5819
Mailing address
PO BOX 911230, SUITE 301, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA06362
TX
363AS0400X
Surgical Physician Assistant
PA12217
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
345574302
—
TX
05
—
345574303
—
TX
01
—
P01932457
RAILROAD
TX
05
—
PA12217
—
CA
Enumeration date
10/27/2006
Last updated
08/25/2021
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