Individual
DR. KATHLEEN SHADLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6565 FANNIN ST, SUITE AX121B, HOUSTON, TX 77030-2703
(713) 441-4800
(713) 793-1300
Mailing address
6565 FANNIN ST, SUITE AX121B, HOUSTON, TX 77030-2703
(713) 441-4800
(713) 793-1300
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
J1038
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129641001
—
TX
05
—
129641006
—
TX
05
—
129641007
—
TX
01
—
129641008
MEDICAID CSHCN
TX
05
—
129641009
—
TX
05
—
129641010
—
TX
01
—
85471R
BLUE CROSS
TX
01
—
8BN489
BLUE CROSS BLUE SHIELD
TX
01
—
8FU326
BLUE CROSS BLUE SHIELD
TX
01
—
P00747796
RR MEDICARE
TX
Enumeration date
08/19/2005
Last updated
07/08/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us