Provider Demographics
NPI:1982664058
Name:LITTLE, KATHERINE H (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:H
Last Name:LITTLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7610 STEMMONS FWY
Mailing Address - Street 2:SUITE 500
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-4231
Mailing Address - Country:US
Mailing Address - Phone:214-689-5960
Mailing Address - Fax:469-713-8084
Practice Address - Street 1:3417 GASTON AVENUE
Practice Address - Street 2:SUITE 790
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246
Practice Address - Country:US
Practice Address - Phone:214-545-3990
Practice Address - Fax:214-545-3999
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2017-01-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXG7677207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX83Y793OtherBCBSTX
TX115722402Medicaid
TXC18476Medicare UPIN
TX100007734Medicare PIN
TX115722402Medicaid