Provider Demographics
NPI:1265474423
Name:LEMASTER, KATHERINE THERESA (FNP)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:THERESA
Last Name:LEMASTER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-437-9605
Practice Address - Street 1:690 N 14TH ST
Practice Address - Street 2:THIRD FLOOR
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702-1449
Practice Address - Country:US
Practice Address - Phone:409-899-7180
Practice Address - Fax:409-899-7186
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2017-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX540798363L00000X
TXAP109255363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX143615601Medicaid
TX143615602Medicaid
TX143615604Medicaid
TX143615603Medicaid
TX143615603Medicaid
TX143615601Medicaid
TX8882M0Medicare PIN
TX500020803Medicare PIN
TX143615602Medicaid
TX8D6674Medicare PIN