Basic Information
| Provider Information | |||||||||
| NPI: | 1710135140 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SMITH | ||||||||
| FirstName: | KATHERINE | ||||||||
| MiddleName: | BELINDA | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 908 S. EVANS | ||||||||
| Address2: | |||||||||
| City: | UVALDE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 788015141 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8302787105 | ||||||||
| FaxNumber: | 8302782964 | ||||||||
| Practice Location | |||||||||
| Address1: | 200 S EVANS | ||||||||
| Address2: | |||||||||
| City: | UVALDE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 788015141 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8302787105 | ||||||||
| FaxNumber: | 8302782964 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/27/2008 | ||||||||
| LastUpdateDate: | 10/16/2013 | ||||||||
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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 | 363AM0700X | PA00479 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical |
No ID Information.