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Individual

DR. KATHERINE R MAKOHON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4450 TUBBS RD, ROCKWALL, TX 75032-6308
(972) 722-3290
(972) 722-3815
Mailing address
4450 TUBBS RD, ROCKWALL, TX 75032-6308
(972) 722-3290
(972) 722-3815

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
K6483
TX
208600000X
Surgery Physician
Primary
K6483
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01713713
AMERIGROUP
TX
05
160322703
TX
01
267222YN0Q
MCPTAN
TX
01
8G2492
BC/BS
TX
01
P01152990
RR MEDICARE
TX
Enumeration date
08/19/2005
Last updated
02/12/2026
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