Individual
KATHERINE ABTAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-1100
Mailing address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-1100
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
S8513
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO-05093
IOWA MEDICAL LICENSE
IA
01
—
S8513
TEXAS MEDICAL BOARD
TX
Enumeration date
04/30/2012
Last updated
07/24/2024
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