Individual
KATHERINE AHLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1301 MEMORIAL DR, BRYAN, TX 77802-5205
(979) 731-4520
(979) 731-4570
Mailing address
1500 UNIVERSITY DR E STE 100, COLLEGE STATION, TX 77840-2600
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
1084428
TX
Other
Enumeration date
08/09/2022
Last updated
09/11/2024
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