Basic Information
| Provider Information | |||||||||
| NPI: | 1184886335 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KNAUS | ||||||||
| FirstName: | KIMBERLY | ||||||||
| MiddleName: | ANN | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11614 FM 2244 RD | ||||||||
| Address2: | STE 130 | ||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787385551 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5122633911 | ||||||||
| FaxNumber: | 5122633933 | ||||||||
| Practice Location | |||||||||
| Address1: | 11521 FM 620 N | ||||||||
| Address2: | |||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787261139 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5124026830 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/30/2008 | ||||||||
| LastUpdateDate: | 07/25/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208D00000X | N8312 | TX | Y | Allopathic & Osteopathic Physicians | General Practice |
No ID Information.