Provider Demographics
NPI:1407496474
Name:KATHRYN JAMES VENTURES
Entity Type:Organization
Organization Name:KATHRYN JAMES VENTURES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:512-250-2424
Mailing Address - Street 1:12335 HYMEADOW DR STE 200
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-1935
Mailing Address - Country:US
Mailing Address - Phone:512-250-2424
Mailing Address - Fax:512-383-5912
Practice Address - Street 1:12335 HYMEADOW DR STE 200
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-1935
Practice Address - Country:US
Practice Address - Phone:512-250-2424
Practice Address - Fax:512-383-5912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-08
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental