Provider Demographics
NPI:1801376991
Name:FRANTZ, KATHLEEN GRACE
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:GRACE
Last Name:FRANTZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 NAPLES ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78404-1833
Mailing Address - Country:US
Mailing Address - Phone:918-527-7927
Mailing Address - Fax:
Practice Address - Street 1:939 AYERS ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-1915
Practice Address - Country:US
Practice Address - Phone:361-883-2229
Practice Address - Fax:361-336-0212
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-17
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99346176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife