Provider Demographics
NPI:1508321001
Name:KATHLEEN ANN DEE
Entity Type:Organization
Organization Name:KATHLEEN ANN DEE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP BC, FNP C
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DEE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:713-981-0660
Mailing Address - Street 1:16903 RED OAK DR STE 266
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-3915
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:16903 RED OAK DR STE 266
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-3915
Practice Address - Country:US
Practice Address - Phone:713-543-1614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-08
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty