Provider Demographics
NPI:1912660358
Name:KATCON ENTERPRISES, LLC
Entity Type:Organization
Organization Name:KATCON ENTERPRISES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V-P
Authorized Official - Prefix:MRS
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:MORAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-915-2363
Mailing Address - Street 1:10490 HUFFMEISTER RD STE B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-5654
Mailing Address - Country:US
Mailing Address - Phone:832-280-5447
Mailing Address - Fax:
Practice Address - Street 1:10490 HUFFMEISTER RD STE B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-5654
Practice Address - Country:US
Practice Address - Phone:832-280-5447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-21
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1639313513OtherENDOCRINOLOGY