Provider Demographics
NPI:1457695041
Name:SANDERS, KATHRYN B (NP-C)
Entity Type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:B
Last Name:SANDERS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MS
Other - First Name:KATHRYN
Other - Middle Name:D
Other - Last Name:SANDERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP-C
Mailing Address - Street 1:326 S GATE STONE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-8342
Mailing Address - Country:US
Mailing Address - Phone:713-907-4874
Mailing Address - Fax:281-493-1862
Practice Address - Street 1:909 DAIRY ASHFORD RD
Practice Address - Street 2:SUITE 205
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-5309
Practice Address - Country:US
Practice Address - Phone:281-589-2694
Practice Address - Fax:281-493-1862
Is Sole Proprietor?:No
Enumeration Date:2012-11-20
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX500065363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner