Doctor Name: | MS. KATHERINE FAYE MENAGER |
NPI Number: | 1548398928 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 571066 |
Business Practice Address: | 1406 E Houston St Ste B Beeville, TX - 781025346 |
Business Phone Number: | 3615428186 |
Business Fax Number: | 3618814291 |
Mailing Address: | 1406 E Houston St Ste B, BEEVILLE |
State: | TX |
Postal Code: | 781025346 |
Phone Number: | 3615428186 |
Fax Number: | 3618814291 |
NPI Enumeration Date: | 02/28/2007 |
NPI Last Update Date: | 06/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 571066 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |