Provider Demographics
NPI:1205007432
Name:GWIN, KATJA (MD)
Entity Type:Individual
Prefix:DR
First Name:KATJA
Middle Name:
Last Name:GWIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KATJA
Other - Middle Name:
Other - Last Name:SCHUERFELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:UT SOUTHWESTERN MEDICAL CTR
Mailing Address - Street 2:P.O. BOX 845347
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-0001
Mailing Address - Country:US
Mailing Address - Phone:214-645-4851
Mailing Address - Fax:
Practice Address - Street 1:5323 HARRY HINES BLVD DALLAS
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-0001
Practice Address - Country:US
Practice Address - Phone:203-737-4142
Practice Address - Fax:203-785-7146
Is Sole Proprietor?:No
Enumeration Date:2008-03-15
Last Update Date:2013-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP7278207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology