Doctor Name: | KATHERINE C RABAGOS |
NPI Number: | 1134415631 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | 660986 |
Business Practice Address: | 500 E Caesar Ave Kingsville, TX - 783636322 |
Business Phone Number: | 3615160800 |
Business Fax Number: | 3615160855 |
Mailing Address: | 500 E Caesar Ave, KINGSVILLE |
State: | TX |
Postal Code: | 783636322 |
Phone Number: | 3615160800 |
Fax Number: | 3615160855 |
NPI Enumeration Date: | 06/22/2011 |
NPI Last Update Date: | 02/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 660986 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |