Individual
KATHRYN STOREY DEFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4700 SETON CENTER PKWY, SUITE 200, AUSTIN, TX 78759-5295
(512) 439-1000
(512) 439-1081
Mailing address
4700 SETON CENTER PKWY, SUITE 200, AUSTIN, TX 78759-5295
(512) 439-1000
(512) 439-1081
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA07082
TX
363AS0400X
Surgical Physician Assistant
Primary
PA07082
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
322872801
—
TX
05
—
322872802
—
TX
Enumeration date
09/22/2010
Last updated
03/26/2026
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