Kathryn D Anderson

Individual provider Active NPI Driver · Houston, TX

NPI 1194933531 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1194933531
Entity type
Individual (NPI type 1)
Primary specialty
Driver 172A00000X
License
06754592 (TX)
Practice address
7343 Remegan Rd
Houston, TX 77033-2727
Phone
(713) 738-0185
Fax
(713) 738-0185
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
06754592TXMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
Morning Glory Past Accepting new patients
Unity Outreach Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 06754592 TX Yes

Addresses

Primary practice location

7343 Remegan Rd
Houston, TX 77033-2727

Mailing address

7343 Remegan Rd
Houston, TX 77033-2727
Phone (713) 738-0185

Other providers in Houston, TX

All providers in Houston, TX · Driver in Texas

Sources for this page

Verify at the official NPI Registry.