Provider Demographics
NPI:1457540585
Name:PARMA, KATHLEEN ANN (PA-C)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:ANN
Last Name:PARMA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1908 N LAURENT ST
Mailing Address - Street 2:STE 370
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-5457
Mailing Address - Country:US
Mailing Address - Phone:361-572-0333
Mailing Address - Fax:361-572-8518
Practice Address - Street 1:2700 CITIZENS PLZ
Practice Address - Street 2:STE 301
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-5754
Practice Address - Country:US
Practice Address - Phone:361-579-1371
Practice Address - Fax:361-579-1373
Is Sole Proprietor?:No
Enumeration Date:2007-10-15
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA05460363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX821N08OtherBLUE CROSS
TX821N08OtherBLUE CROSS