Provider Demographics
NPI:1730670753
Name:ARMSTRONG, MARY KATHERINE BYRD (PA-C)
Entity Type:Individual
Prefix:
First Name:MARY KATHERINE
Middle Name:BYRD
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4450 E SAM HOUSTON PKWY S STE H2
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77505-3950
Mailing Address - Country:US
Mailing Address - Phone:713-910-7779
Mailing Address - Fax:
Practice Address - Street 1:4450 E SAM HOUSTON PKWY S STE H2
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-3950
Practice Address - Country:US
Practice Address - Phone:713-910-7779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-24
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA12865363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical