Katherine Louise Dougherty, PA-C
Individual provider Active NPI Physician Assistant · Comfort, TX
NPI 1447658307 · NPPES record last updated Jun 22, 2016
Key facts
- NPI
- 1447658307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 212 US Highway 87
Comfort, TX 78013-3705 - Phone
- (830) 995-3887
- Fax
- (830) 995-3393
- NPI assigned
- Dec 9, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
212 US Highway 87
Comfort, TX 78013-3705
Mailing address
1510 S Main St
Boerne, TX 78006-3308
Phone (830) 816-4357
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8977NM | Other | TX | BC PIN |
| P01529987 | Other | TX | RR MEDICARE PTAN |
Other providers in Comfort, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.