Provider Demographics
NPI:1710353214
Name:KATHARINE E. MCNAMARA, PLLC
Entity Type:Organization
Organization Name:KATHARINE E. MCNAMARA, PLLC
Other - Org Name:KATHARINE MCNAMARA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KATHARINE
Authorized Official - Middle Name:ELISE
Authorized Official - Last Name:MCNAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:361-226-3436
Mailing Address - Street 1:PO BOX 1299
Mailing Address - Street 2:
Mailing Address - City:ARANSAS PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78335-1299
Mailing Address - Country:US
Mailing Address - Phone:361-226-3436
Mailing Address - Fax:361-758-4949
Practice Address - Street 1:1121 HIGHWAY 35 N
Practice Address - Street 2:
Practice Address - City:ROCKPORT
Practice Address - State:TX
Practice Address - Zip Code:78382-3112
Practice Address - Country:US
Practice Address - Phone:361-226-3436
Practice Address - Fax:361-758-4949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-19
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ2161207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1558621334OtherNPI
TX480965OtherMEDICARE