Provider Demographics
NPI:1265924914
Name:TOOLE, KATHRYN (AA)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:TOOLE
Suffix:
Gender:F
Credentials:AA
Other - Prefix:
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Mailing Address - Street 1:2700 TRAVIS ST APT 2035
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-3565
Mailing Address - Country:US
Mailing Address - Phone:713-829-0247
Mailing Address - Fax:713-829-0247
Practice Address - Street 1:1500 CITYWEST BLVD STE 300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042
Practice Address - Country:US
Practice Address - Phone:713-620-4000
Practice Address - Fax:713-458-4229
Is Sole Proprietor?:No
Enumeration Date:2018-05-30
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX26227341207L00000X, 367H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology