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Individual

KATHY AUSTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
6550 FANNIN ST, SUITE 1001, HOUSTON, TX 77030-2717
(713) 441-0005
Mailing address
6550 FANNIN ST, SUITE 1001, HOUSTON, TX 77030-2717

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
548084
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
193369901
TX
01
8Y3436
BLUE CROSS BLUE SHIELD
TX
01
P00470389
RAILROAD MEDICARE
TX
Enumeration date
10/02/2007
Last updated
12/19/2008
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