Provider Demographics
NPI:1598815896
Name:KATHLEEN E SOMMERS
Entity Type:Organization
Organization Name:KATHLEEN E SOMMERS
Other - Org Name:PARKING WAY PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:E
Authorized Official - Last Name:SEIWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-297-9086
Mailing Address - Street 1:115 ABNER JACKSON PKWY STE C
Mailing Address - Street 2:
Mailing Address - City:LAKE JACKSON
Mailing Address - State:TX
Mailing Address - Zip Code:77566-5157
Mailing Address - Country:US
Mailing Address - Phone:979-297-9086
Mailing Address - Fax:979-297-6475
Practice Address - Street 1:115 ABNER JACKSON PKWY STE C
Practice Address - Street 2:
Practice Address - City:LAKE JACKSON
Practice Address - State:TX
Practice Address - Zip Code:77566-5157
Practice Address - Country:US
Practice Address - Phone:979-297-9086
Practice Address - Fax:979-297-6475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG1793208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX136262608Medicaid