Individual
KATHERINE NICOLE BASTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9200 PINECROFT DR STE 465, SHENANDOAH, TX 77380-3285
(832) 562-2009
(832) 562-2007
Mailing address
9200 PINECROFT DR STE 465, SHENANDOAH, TX 77380-3285
(832) 562-2009
(832) 562-2007
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
T8761
TX
390200000X
Student in an Organized Health Care Education/Training Program
T8761
TX
Other
Enumeration date
04/06/2020
Last updated
06/14/2023
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