Doctor Name: | KATHRYN CLAY SAMPSON |
NPI Number: | 1285931998 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PNP |
License Number: | 685442 |
Business Practice Address: | 502 Crystal Falls Pkwy Suite B Leander, TX - 786411959 |
Business Phone Number: | 5122600101 |
Business Fax Number: | 5122600121 |
Mailing Address: | 2400 Cedar Bend Dr, Department Of Pediatrics AUSTIN |
State: | TX |
Postal Code: | 787582483 |
Phone Number: | 5129014031 |
Fax Number: | 5129013937 |
NPI Enumeration Date: | 02/15/2011 |
NPI Last Update Date: | 10/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 685442 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |