| Kathryn Laraine Fordahl, PA | |
|
301b Hudspeth Ave, Sonora, TX 76950 | |
| (325) 387-7911 | |
| (325) 387-7912 |
| Full Name | Kathryn Laraine Fordahl |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 301b Hudspeth Ave, Sonora, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346310745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA02145 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Laraine Fordahl, PA Po Box 877, Sonora, TX 76950 Ph: (325) 387-7911 | Kathryn Laraine Fordahl, PA 301b Hudspeth Ave, Sonora, TX 76950 Ph: (325) 387-7911 |
Julia Plyako, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 301 Hudspeth St Ste B, Sonora, TX 76950 Phone: 325-387-7911 | |
Sarah Leah Sanchez, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 301 Hudspeth St Ste B, Sonora, TX 76950 Phone: 325-387-7911 | |
Mrs. Diana Lee Arteaga, PAC Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 301 Hudspeth Avenue, A, Sonora, TX 76950 Phone: 325-387-6557 Fax: 325-387-5272 |