Doctor Name: | DR. KATHERINE SUZANNE TILLE |
NPI Number: | 1528155215 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 0101241678 |
Business Practice Address: | 2200 Bergquist Drive, Suite 1 Wilford Hall Ambulatory Surgical Center Jbsa Lackland, TX - 78236 |
Business Phone Number: | 2102924278 |
Business Fax Number: | 2102927003 |
Mailing Address: | 2200 Bergquist Drive, Suite 1, Wilford Hall Ambulatory Surgical Center JBSA LACKLAND |
State: | TX |
Postal Code: | 78236 |
Phone Number: | 2102924278 |
Fax Number: | 2102927003 |
NPI Enumeration Date: | 10/06/2006 |
NPI Last Update Date: | 02/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208000000X |
License Number: | 0101241678 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | |
Taxonomy Definition: | A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |