Kathryn Deshotels, NP | |
14006 Old Highway 59 N, Splendora, TX 77372-6302 | |
(281) 689-2605 | |
(281) 689-2259 |
Full Name | Kathryn Deshotels |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 14006 Old Highway 59 N, Splendora, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275618274 | NPI | - | NPPES |
11955914 | Other | TX | TX DRIVERS LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 649195 (Texas) | Primary |
Entity Name | Providence Physician Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760919880 PECOS PAC ID: 8022354638 Enrollment ID: O20190117002679 |
Mailing Address | Practice Location Address |
---|---|
Kathryn Deshotels, NP Po Box 62230, Houston, TX 77205-2230 Ph: (281) 364-8373 | Kathryn Deshotels, NP 14006 Old Highway 59 N, Splendora, TX 77372-6302 Ph: (281) 689-2605 |
Ms. Shrimathi Ravikumar, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16401 1st St, Splendora, TX 77372 Phone: 281-968-4096 | |
Mostafa El Zarif, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Po Box 93, Splendora, TX 77372 Phone: 346-814-0338 | |
Florence P Dyer, NP C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14006 Old Highway 59 N, Linked Ipas, Splendora, TX 77372 Phone: 806-244-7790 |