Provider Demographics
NPI:1245901693
Name:KING, KATRINA TONY (ARNP)
Entity type:Individual
Prefix:MRS
First Name:KATRINA
Middle Name:TONY
Last Name:KING
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7515 MAIN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4549
Mailing Address - Country:US
Mailing Address - Phone:832-777-7570
Mailing Address - Fax:281-709-2575
Practice Address - Street 1:7515 MAIN ST STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4549
Practice Address - Country:US
Practice Address - Phone:832-777-7570
Practice Address - Fax:281-709-2575
Is Sole Proprietor?:No
Enumeration Date:2021-09-24
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11015594363LF0000X, 363L00000X
TXF09211353363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily