| Doctor Name: | MRS. KATHLEEN CASTILAW HARRIS |
| NPI Number: | 1700117603 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | 608112 |
| Business Practice Address: | 104 N Beech St Woodville, TX - 759794718 |
| Business Phone Number: | 4092832822 |
| Business Fax Number: | 4092837852 |
| Mailing Address: | 104 N Beech St, WOODVILLE |
| State: | TX |
| Postal Code: | 759794718 |
| Phone Number: | 4092832822 |
| Fax Number: | 4092837852 |
| NPI Enumeration Date: | 01/18/2010 |
| NPI Last Update Date: | 01/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 608112 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |